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1003128745
JOHNNY MARVELL LEAKE
OKLAHOMA CITY, OK
NPI
1003128745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2010-07-10
Last Update Date
2010-07-10
Business Address
Mr. JOHNNY MARVELL LEAKE M.Ed
613 BATH CIR
OKLAHOMA CITY, OK 73117-3024
Phone number: 405-208-4045
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Mailing Address
Mr. JOHNNY MARVELL LEAKE M.Ed
613 BATH CIR
OKLAHOMA CITY, OK 73117-3024
Phone number: 405-208-4045
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