DYLAN VICTOR LESLIE

CANADIAN, OK
NPI1962811802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
-- DYLAN VICTOR LESLIE
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 918-339-5800
Mailing Address
-- DYLAN VICTOR LESLIE
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 918-339-5800