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1003906157
PHYLLIS GENTRY
NORMAN, OK
NPI
1003906157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 0305)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- PHYLLIS GENTRY LCSW
930 N FLOOD AVE
NORMAN, OK 73069-7642
Phone number: 405-321-3719
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Mailing Address
-- PHYLLIS GENTRY LCSW
522 TRINIDAD DR
NORMAN, OK 73072-5109
Phone number: 405-928-2044
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