JUSTIN DALE WALLACE

PRYOR, OK
NPI1578207072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OK  175t00000X)
Enumeration Date2022-04-21
Last Update Date2022-04-21
Business Address
JUSTIN DALE WALLACE
109 N FAIRLAND ST
PRYOR, OK 74361-4205
Phone number: 918-925-1405
Mailing Address
JUSTIN DALE WALLACE
109 N FAIRLAND ST
PRYOR, OK 74361-4205
Phone number:
Similar providers in Pryor, OK
LORI BETH WALKER
AUTUMN LASHAE KOEHN
JERRY WAYNE CAMPBELL
BRETT ADAM BAYLESS
NICOLE OWENS
WILLIAM DAVID BULLARD
SPENCER JACKSON
KANDICE BRIANS
CLAUDE ROBERTSON GUFFEY
JACOB THOMAS HISELEY