JON R PENOI

OKLAHOMA CITY, OK
NPI1104049410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OK  217)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
JON R PENOI L.A.D.C.
425 NW 7TH ST
OKLAHOMA CITY, OK 73102-2810
Phone number: 405-235-9709
Mailing Address
JON R PENOI L.A.D.C.
704 NEAL CIR
EL RENO, OK 73036-5620
Phone number: 405-235-9709
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