GRAND LAKE THERAPEUTICS LLC

GROVE, OK
NPI1528670239
Entity TypeOrganization
Authorized ContactMITZY KANTOR
Owner
918-786-0875
Organization Subpart ?No
Primary Taxonomy101YP2500X Counselor, Professional
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
GRAND LAKE THERAPEUTICS LLC
1441 LAKESIDE DR
GROVE, OK 74344-4223
Phone number: 918-786-0875
Mailing Address
GRAND LAKE THERAPEUTICS LLC
1441 LAKESIDE DR
GROVE, OK 74344-4223
Phone number: