ANTHONY DEWAYNE TAYLOR

EDMOND, OK
NPI1528314887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
-- ANTHONY DEWAYNE TAYLOR
804 WENDY LN
EDMOND, OK 73013-5924
Phone number: 405-330-0724
Mailing Address
-- ANTHONY DEWAYNE TAYLOR
804 WENDY LN
EDMOND, OK 73013-5924
Phone number: 405-330-0724
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