BRIAN MATTINGLY

ANTLERS, OK
NPI1619160579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-08-23
Last Update Date2009-04-07
Business Address
-- BRIAN MATTINGLY
HC 83 BOX 905
ANTLERS, OK 74523-9428
Phone number: 580-298-0200
Mailing Address
-- BRIAN MATTINGLY
PO BOX 686
ANTLERS, OK 74523-0686
Phone number: 580-298-0200
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