DEREL SCOTT CORNELIUS

YUKON, OK
NPI1407110240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-06-26
Last Update Date2012-06-26
Business Address
-- DEREL SCOTT CORNELIUS
428 S MUSTANG RD
YUKON, OK 73099-6754
Phone number: 405-577-5477
Mailing Address
-- DEREL SCOTT CORNELIUS
428 S MUSTANG RD
YUKON, OK 73099-6754
Phone number: 405-577-5477