LISA MOORE

BOLEY, OK
NPI1114357068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-11-13
Last Update Date2013-11-13
Business Address
-- LISA MOORE
ROUTE 1 BOX 35D
BOLEY, OK 74829
Phone number: 918-667-3367
Mailing Address
-- LISA MOORE
PO BOX 218
BOLEY, OK 74829
Phone number: 918-667-3367