DEMETRIUS J ELLIS

TULSA, OK
NPI1780009027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
-- DEMETRIUS J ELLIS
2001 S GARNETT RD STE G
TULSA, OK 74128-1838
Phone number: 918-878-7877
Mailing Address
-- DEMETRIUS J ELLIS
5201 S WESTERN AVE
OKLAHOMA CITY, OK 73109-4526
Phone number: 405-632-0870
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