CHARLES WAYNE THOMAS

PRYOR, OK
NPI1578198834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-03-06
Last Update Date2020-04-14
Business Address
CHARLES WAYNE THOMAS
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 189-825-1405
Mailing Address
CHARLES WAYNE THOMAS
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405