Individual
IMELDA DEMRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 S WESTERN AVE, SUITE 314, OKLAHOMA CITY, OK 73109-4520
(405) 631-9991
Mailing address
18512 LAZO DR, EDMOND, OK 73012-7609
(405) 226-8555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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