CHARLES IVY

TULSA, OK
NPI1497369573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-04
Last Update Date2020-09-04
Business Address
CHARLES IVY
4620 S VANDALIA AVE
TULSA, OK 74135-4715
Phone number: 918-565-7151
Mailing Address
CHARLES IVY
4620 S VANDALIA AVE
TULSA, OK 74135-4715
Phone number: 918-565-7151
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