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1023447877
DOUGLAS SMITH
MIAMI, OK
NPI
1023447877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2013-11-02
Last Update Date
2013-11-02
Business Address
-- DOUGLAS SMITH
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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Mailing Address
-- DOUGLAS SMITH
PO BOX 1271
MIAMI, OK 74355-1271
Phone number: 918-675-4100
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