Individual
MRS. LORI FAY ONEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 WEST SOUTH AVE, VINITA, OK 74301
(918) 256-5499
(918) 256-8861
Mailing address
321 WEST SOUTH AVE, VINITA, OK 74301
(918) 256-5499
(918) 256-8861
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
OK
347C00000X
Private Vehicle
—
OK
Other
Enumeration date
06/27/2007
Last updated
07/13/2007
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