CANDICE LEANN DOMINGUEZ

KEOTA, OK
NPI1023362142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: OK  1-14-12)
Enumeration Date2012-10-29
Last Update Date2012-10-29
Business Address
-- CANDICE LEANN DOMINGUEZ
40936 E COUNTY ROAD 1230
KEOTA, OK 74941-6439
Phone number: 918-471-8936
Mailing Address
-- CANDICE LEANN DOMINGUEZ
40936 E COUNTY ROAD 1230
KEOTA, OK 74941-6439
Phone number: 918-471-8936