Individual
MR. PALLU AD'INO ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
8321 NE 33RD ST, SPENCER, OK 73084-3103
(405) 414-5394
Mailing address
12213 ANGELES WAY, YUKON, OK 73099-1706
(405) 414-5394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
09/19/2024
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