DERELL JOVAN SPIRES

OKLAHOMA CITY, OK
NPI1952600785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-03-18
Last Update Date2011-03-18
Business Address
-- DERELL JOVAN SPIRES
9242 NORTH MCARTHUR BLVD APT A
OKLAHOMA CITY, OK 73132
Phone number: 870-995-0919
Mailing Address
-- DERELL JOVAN SPIRES
9242 N MACARTHUR BLVD APT A
OKLAHOMA CITY, OK 73132-2451
Phone number: 870-995-0919
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