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1053630848
TIMOTHY LEE SHOALS
OKLAHOMA CITY, OK
NPI
1053630848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
Mr. TIMOTHY LEE SHOALS BA
214 SW 30TH ST
OKLAHOMA CITY, OK 73109-6506
Phone number: 405-272-1610
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Mailing Address
Mr. TIMOTHY LEE SHOALS BA
214 SW 30TH ST
OKLAHOMA CITY, OK 73109-6506
Phone number: 405-272-1610
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