Theodis Roosevelt Manning B.S. ENGINEERING

NPI 1225316706 - Counselor - 101Y00000X

NPI Details
NPI 1225316706
Gender Male
Enumeration Date 08/01/2011
Last Updated 08/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
8306 NE 10TH ST
MIDWEST CITY OK, 73110-7155, US
Phone (405) 732-0573
Fax
Business Location
8306 NE 10TH ST
MIDWEST CITY OK, 73110-7155, US
Phone (405) 732-0573
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Theodis Roosevelt Manning B.S. ENGINEERING NPI is 1225316706, taxonomy code is 101Y00000X Theodis Roosevelt Manning B.S. ENGINEERING physically located at 8306 Ne 10th St, Midwest City OK, 73110-7155. NPI Number Theodis Roosevelt Manning B.S. ENGINEERING has the Individual type.

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1225316706 NPI number is provided on an as is basis without warranty of any kind. 1225316706 is maintained by the National Plan & Provider Enumeration System. The contents of Theodis Roosevelt Manning B.S. ENGINEERING are for informational purposes only.