JIMMY SELANDERS

GROVE, OK
NPI1265821102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: OK  200129910A)
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
-- JIMMY SELANDERS
32300 S 625 RD
GROVE, OK 74344-6285
Phone number: 918-786-2930
Mailing Address
-- JIMMY SELANDERS
PO BOX 451585
GROVE, OK 74345-1585
Phone number: 918-786-2930