| Anna Marie Perdue, Llc | |
|
910785 S Gerdes Drive Wellston OK 74881-8146 | |
| (405) 823-4415 | |
| Not Available |
| Full Name | Anna Marie Perdue, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 910785 S Gerdes Drive, Wellston, Oklahoma |
| Authorized Official Name and Position | Anna Marie Perdue (OWNER) |
| Authorized Official Contact | 4058234415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Marie Perdue, Llc 910785 S Gerdes Drive Wellston OK 74881-8146 Ph: () - | Anna Marie Perdue, Llc 910785 S Gerdes Drive Wellston OK 74881-8146 Ph: (405) 823-4415 |
| NPI Number | 1790105922 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790105922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5305 (Oklahoma) | Primary |
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