DUSTAN ROBERT EVANS

TULSA, OK
NPI1346500667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-21
Last Update Date2012-05-21
Business Address
Mr. DUSTAN ROBERT EVANS
3308 W 61ST ST
TULSA, OK 74132-1223
Phone number: 918-269-8742
Mailing Address
Mr. DUSTAN ROBERT EVANS
3308 W 61ST ST
TULSA, OK 74132-1223
Phone number: 918-269-8742
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