JAMES ELLIS BOHANNON

LAWTON, OK
NPI1487053898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2014-08-21
Last Update Date2014-08-21
Business Address
-- JAMES ELLIS BOHANNON M.S.B.S.
601 SW B AVE
LAWTON, OK 73501-3907
Phone number: 580-214-0244
Mailing Address
-- JAMES ELLIS BOHANNON M.S.B.S.
6121 SW PARK PL
LAWTON, OK 73505-7731
Phone number: 619-341-2413