BJ LATTA

STILWELL, OK
NPI1386019982
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2015-12-08
Last Update Date2016-01-07
Business Address
-- BJ LATTA
1801 W LOCUST ST
STILWELL, OK 74960-3259
Phone number: 918-696-7276
Mailing Address
-- BJ LATTA
1801 W LOCUST ST
STILWELL, OK 74960-3259
Phone number: 918-696-7276
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