SAMMY CLARENCE LOOKOUT

PAWHUSKA, OK
NPI1932457843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
Mr. SAMMY CLARENCE LOOKOUT
1011 GRANDVIEW AVE
PAWHUSKA, OK 74056-3023
Phone number: 918-287-5417
Mailing Address
Mr. SAMMY CLARENCE LOOKOUT
1011 GRANDVIEW AVE
PAWHUSKA, OK 74056-3023
Phone number: 918-287-5417
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