RANDY J LACK

SHAWNEE, OK
NPI1588947691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-25
Last Update Date2024-05-04
Business Address
-- RANDY J LACK
2508 N HARRISON ST
SHAWNEE, OK 74804-3131
Phone number: 405-275-2877
Mailing Address
-- RANDY J LACK
519 N BROADWAY ST A
TECUMSEH, OK 74873-2044
Phone number: 405-919-4667
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