JOEL RUSSELL WINGO

STILLWATER, OK
NPI1528603032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-08
Last Update Date2019-11-08
Business Address
JOEL RUSSELL WINGO
GRAND LAKE MENTAL HEALTH CENTER INC. 604 S. WALNUT ST.
STILLWATER, OK 74074-4222
Phone number: 918-857-6280
Mailing Address
JOEL RUSSELL WINGO
GRAND LAKE MENTAL HEALTH CENTER, INC 604 SOUTH WALNUT
STILLWATER, OK 74074-4222
Phone number: 918-857-6280
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