ANTHONY DIRTEATER

TAHLEQUAH, OK
NPI1265202659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-01-05
Last Update Date2024-01-05
Business Address
ANTHONY DIRTEATER
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3819
Phone number: 918-931-3700
Mailing Address
ANTHONY DIRTEATER
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3819
Phone number: 918-931-3700