LOUIS JAMES FAZIO

MAUD, OK
NPI1841953759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-10-18
Last Update Date2021-10-21
Business Address
LOUIS JAMES FAZIO
32018 HIGHWAY 59
MAUD, OK 74854
Phone number: 405-374-1225
Mailing Address
LOUIS JAMES FAZIO
32018 HIGHWAY 59
MAUD, OK 74854
Phone number: 405-374-1225
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