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1023214038
GAY LYNN PETERSON
OKMULGEE, OK
NPI
1023214038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-26
Last Update Date
2009-03-19
Business Address
Miss GAY LYNN PETERSON
323 W 6TH ST
OKMULGEE, OK 74447-5019
Phone number: 918-756-9250
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Mailing Address
Miss GAY LYNN PETERSON
1116 S FLORIDA AVE
OKMULGEE, OK 74447-6200
Phone number: 918-756-4512
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