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1003957218
KIRK MICHAEL HOLLIS
PONCA CITY, OK
NPI
1003957218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1900)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- KIRK MICHAEL HOLLIS LPC
111 W GRAND AVE
PONCA CITY, OK 74601-5211
Phone number: 580-767-8000
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Mailing Address
-- KIRK MICHAEL HOLLIS LPC
3000 LARCHMONT AVE
PONCA CITY, OK 74604-4431
Phone number: 580-765-8516
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