MFISHAJI LADD

PRAGUE, OK
NPI1790068716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
MR. MFISHAJI LADD BHRS
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864-1143
Phone number: 405-567-0054
Mailing Address
MR. MFISHAJI LADD BHRS
57533 MOCCASIN TRAIL RD
PRAGUE, OK 74864-1143
Phone number: 405-567-0054
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