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John Boulanger

NPI 1831054758 · on the registry since 2025 · sole proprietor

Practice

Address
11517 San Sebastian Dr
Oklahoma City, OK 73173
Phone
(405) 625-3051

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma