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1003174517
KIMBERLY R COUCH
ANTLERS, OK
NPI
1003174517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-03
Last Update Date
2012-05-03
Business Address
-- KIMBERLY R COUCH
903 W MAIN ST
ANTLERS, OK 74523-2045
Phone number: 580-298-3001
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Mailing Address
-- KIMBERLY R COUCH
PO BOX 226
RATTAN, OK 74562-0226
Phone number: 580-298-3001
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