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1013207141
DANIEL NELSON
DURANT, OK
NPI
1013207141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-11
Last Update Date
2011-04-11
Business Address
-- DANIEL NELSON
134 N 12TH AVE
DURANT, OK 74701-4718
Phone number: 580-924-6363
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Mailing Address
-- DANIEL NELSON
134 N. 12TH ST.
DURANT, OK 74701
Phone number: 580-924-6363
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