Theophilus D Amengaeteoho, BHRS

NPI #1013266212 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1013266212
Entity Type
Individual
Name
Theophilus D Amengaeteoho, BHRS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
BHRS
Enumeration Date
Sep 4, 2012
Last Updated
Sep 4, 2012

Practice Location

Address
5714 S WESTERN AVE
ZIP Code
73109-4515
Phone
(405) 601-1154

Specialties & Taxonomy Codes

Specialty
Counselor

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