MICAH GRANT LANE

DURANT, OK
NPI1811214083
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-04-28
Last Update Date2010-04-28
Business Address
Mr. MICAH GRANT LANE B.A.
212 W EVERGREEN ST
DURANT, OK 74701-4710
Phone number: 580-931-9901
Mailing Address
Mr. MICAH GRANT LANE B.A.
212 W EVERGREEN ST
DURANT, OK 74701-4710
Phone number: 580-931-9901
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