MARTY DRAKE COLVIN

OWASSO, OK
NPI1801365929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-19
Last Update Date2018-11-19
Business Address
Mr. MARTY DRAKE COLVIN CM
8915 N 119TH EAST AVE
OWASSO, OK 74055-2083
Phone number: 918-813-3073
Mailing Address
Mr. MARTY DRAKE COLVIN CM
8915 N 119TH EAST AVE
OWASSO, OK 74055-2083
Phone number: 918-813-3073
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