| NPI | 1780033035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL S THURMAN Owner 405-696-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 4794) |
| Additional Taxonomies | 251S00000X (Licence: OK 1056) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |