TRENTON HILL

COWETA, OK
NPI1487046744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-02-24
Last Update Date2015-02-24
Business Address
-- TRENTON HILL
615 S BRISTOW AVE
COWETA, OK 74429-2085
Phone number: 918-805-0048
Mailing Address
-- TRENTON HILL
615 S BRISTOW AVE
COWETA, OK 74429-2085
Phone number:
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