DIETMAR COLLINS

SHAWNEE, OK
NPI1215795885
Other NameDJ COLLINS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: OK  20739-P)
Enumeration Date2024-03-08
Last Update Date2024-03-08
Business Address
DIETMAR COLLINS
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
Mailing Address
DIETMAR COLLINS
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
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