DEKODA KOLE BOST

YUKON, OK
NPI1952609885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  5187)
Enumeration Date2011-03-01
Last Update Date2018-08-09
Business Address
Mr. DEKODA KOLE BOST
11900 NW EXPRESSWAY
YUKON, OK 73099
Phone number: 405-283-9300
Mailing Address
Mr. DEKODA KOLE BOST
11900 NW EXPRESSWAY
YUKON, OK 73099-8795
Phone number: 405-283-9300