KITTAKONE SIRISOMBATH

OKLAHOMA CITY, OK
NPI1124498068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-05
Last Update Date2015-10-05
Business Address
Mr. KITTAKONE SIRISOMBATH
1805 NE 53RD ST
OKLAHOMA CITY, OK 73111-7011
Phone number: 405-476-8412
Mailing Address
Mr. KITTAKONE SIRISOMBATH
1805 NE 53RD ST
OKLAHOMA CITY, OK 73111-7011
Phone number: 405-476-8412
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