TAI KEAWPHALOUK

SHAWNEE, OK
NPI1093209116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
Mr. TAI KEAWPHALOUK
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-7493
Mailing Address
Mr. TAI KEAWPHALOUK
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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