VINCENT J TENNYSON

KINGSTON, OK
NPI1447915459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
VINCENT J TENNYSON
413 HIGHWAY 70 N
KINGSTON, OK 73439-8235
Phone number: 580-564-7308
Mailing Address
VINCENT J TENNYSON
10647 OLD INDIAN TRAIL DR
KINGSTON, OK 73439-7419
Phone number: 817-891-2346