Charles V Ines

NPI #1225689979 in Sand Springs, Oklahoma

Provider Information

NPI Number: 1225689979
Entity Type: Individual
Name: Charles V Ines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 3160 N STATE HIGHWAY 97
City: Sand Springs
State: Oklahoma
ZIP Code: 74063-8336
Phone: (918) 236-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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