TERESA DIANNE GANT

FREDERICK, OK
NPI1649500372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OK  20174)
Enumeration Date2009-12-31
Last Update Date2009-12-31
Business Address
-- TERESA DIANNE GANT Case Manager
22007 COUNTY ROAD EW 185
FREDERICK, OK 73542-9118
Phone number: 580-335-5411
Mailing Address
-- TERESA DIANNE GANT Case Manager
22007 COUNTY ROAD EW 185
FREDERICK, OK 73542-9118
Phone number: 580-335-5411