Individual
ALEXANDER CORNELUIS MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10616 SW 21ST ST, YUKON, OK 73099-7572
(405) 602-4069
Mailing address
10616 SW 21ST ST, YUKON, OK 73099-7572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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