CHANDLER LANE DETHERAGE

SAND SPRINGS, OK
NPI1821818477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
CHANDLER LANE DETHERAGE
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063-5017
Phone number: 918-245-0231
Mailing Address
CHANDLER LANE DETHERAGE
27109 E 82ND ST S
BROKEN ARROW, OK 74014-6114
Phone number:
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