ISAIAS S AVILA

NORMAN, OK
NPI1457075897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2022-09-29
Last Update Date2022-11-07
Business Address
ISAIAS S AVILA
3816 TAYPORT ST
NORMAN, OK 73072-1932
Phone number: 405-837-1750
Mailing Address
ISAIAS S AVILA
3816 TAYPORT ST
NORMAN, OK 73072-1932
Phone number: 405-837-1750
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