JOHN DAVID LAND

SAPULPA, OK
NPI1093110611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101Y00000X Counselor
Enumeration Date2014-10-24
Last Update Date2014-10-24
Business Address
JOHN DAVID LAND
4515 EDGEWOOD
SAPULPA, OK 74066-8908
Phone number: 918-734-9890
Mailing Address
JOHN DAVID LAND
4515 EDGEWOOD
SAPULPA, OK 74066
Phone number: