T Leader

NPI #1801919964 in Chickasha, Oklahoma

Provider Information

NPI Number: 1801919964
Entity Type: Individual
Name: T Leader
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1624 S 19TH ST
City: Chickasha
State: Oklahoma
ZIP Code: 73018-5318
Phone: (000) 000-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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