ERIVAN LANG

MUSKOGEE, OK
NPI1205389947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-07-29
Last Update Date2016-07-29
Business Address
ERIVAN LANG
1300 DORCHESTER AVE
MUSKOGEE, OK 74403-5679
Phone number: 918-616-0009
Mailing Address
ERIVAN LANG
1300 DORCHESTER AVE
MUSKOGEE, OK 74403-5679
Phone number: