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1053605949
BRIAN DELL DAVIS
SHAWNEE, OK
NPI
1053605949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-08
Last Update Date
2011-06-08
Business Address
-- BRIAN DELL DAVIS
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-275-7100
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Mailing Address
-- BRIAN DELL DAVIS
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-275-7100
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