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1043509573
MARY TEISITA RUSSELL
CLINTON, OK
NPI
1043509573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
Ms. MARY TEISITA RUSSELL
70 N 31ST ST
CLINTON, OK 73601-9116
Phone number: 580-323-2061
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Mailing Address
Ms. MARY TEISITA RUSSELL
618 N STATE ST
WEATHERFORD, OK 73096-3840
Phone number: 580-335-1079
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