COLEMAN DALE BAYLESS

PRYOR, OK
NPI1578207122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-04-20
Last Update Date2022-04-20
Business Address
COLEMAN DALE BAYLESS
109 N FAIRLAND ST
PRYOR, OK 74361-4205
Phone number: 918-825-1405
Mailing Address
COLEMAN DALE BAYLESS
109 N FAIRLAND ST
PRYOR, OK 74361-4205
Phone number: 918-825-1405