CHRISTOPHER DEWAYNE GRANT

OKLAHOMA CITY, OK
NPI1225546534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  R082463502)
Enumeration Date2018-01-21
Last Update Date2018-01-21
Business Address
CHRISTOPHER DEWAYNE GRANT
807 NE 21ST ST
OKLAHOMA CITY, OK 73105-8213
Phone number: 318-290-9714
Mailing Address
CHRISTOPHER DEWAYNE GRANT
807 NE 21ST ST
OKLAHOMA CITY, OK 73105-8213
Phone number: 318-290-9714
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