JUSTIN DWAYNE ROSS

CANADIAN, OK
NPI1023420098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2014-05-27
Last Update Date2014-05-27
Business Address
-- JUSTIN DWAYNE ROSS
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 918-339-5800
Mailing Address
-- JUSTIN DWAYNE ROSS
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 918-339-5800
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