Individual
JOHNNY MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
441847 GRAND AVE, VINITA, OK 74301-7262
(918) 256-6416
(918) 256-6416
Mailing address
441847 GRAND AVE, VINITA, OK 74301-7262
(918) 256-6416
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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