THERON MARKKELL PAUL

TULSA, OK
NPI1679044747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
THERON MARKKELL PAUL
730 E 42ND ST N
TULSA, OK 74106-1320
Phone number: 918-814-0107
Mailing Address
THERON MARKKELL PAUL
730 E 42ND ST N
TULSA, OK 74106-1320
Phone number: 918-814-0107