ANTHONI LOSTRACCO

MUSTANG, OK
NPI1053776682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-26
Last Update Date2015-12-26
Business Address
-- ANTHONI LOSTRACCO
305 S BROOKVIEW LN
MUSTANG, OK 73064-4101
Phone number: 405-802-7060
Mailing Address
-- ANTHONI LOSTRACCO
305 S BROOKVIEW LN
MUSTANG, OK 73064-4101
Phone number:
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