CLYDE JEROME COULTER

MIDWEST CITY, OK
NPI1326387192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OK  p080460188)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
-- CLYDE JEROME COULTER
9800 NE 10TH ST
MIDWEST CITY, OK 73130-1507
Phone number: 405-706-6945
Mailing Address
-- CLYDE JEROME COULTER
9800 NE 10TH ST
MIDWEST CITY, OK 73130-1507
Phone number: 405-706-6945