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Mr. David Kenneth Sumo III
Student in an Organized Health Care Education/Training Program in Langston, Oklahoma
NPI 1912123308

David Kenneth Sumo III is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. David Kenneth Sumo III practices in Langston, OK. The NPI Number for David Kenneth Sumo III is 1912123308 and holds a License No. (Oklahoma).

The current practice location address for David Kenneth Sumo III is 522 Sw Bruce St., Langston, OK and can be reached out via phone at 405-466-3851 and via fax at 405-466-3851.

Location: 522 Sw Bruce St., Langston, OK, 73111-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912123308
Provider Name
David Kenneth Sumo III
Credential
Provider Entity Type
Individual
Gender
Male
Address
522 Sw Bruce St., Langston, OK, 73111-5218
Phone Number
405-466-3851
Fax Number
405-466-3851
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
522 Sw Bruce St.
City
Langston
State
Oklahoma
Zip
73055
Phone Number
405-466-3851
Fax Number
405-466-3851
person
Provider Business Mailing Address Details
Address
522 Sw Bruce St.
City
Langston
State
Oklahoma
Zip
73055
Phone Number
405-466-3851
Fax Number
405-466-3851
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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