LEVI JACK TAYLOR

YUKON, OK
NPI1386927945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
-- LEVI JACK TAYLOR
1501 W. COMMERCE
YUKON, OK 73099
Phone number: 405-354-1928
Mailing Address
-- LEVI JACK TAYLOR
1300 S. COUNTRY CLUB RD.
EL RENO, OK 73036
Phone number: 405-354-1928
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