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1063590024
DAVID REESE MCCULLOUGH
SAPULPA, OK
NPI
1063590024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2410)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- DAVID REESE MCCULLOUGH LPC
2 N WATER ST
SAPULPA, OK 74066-2816
Phone number: 918-224-0225
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Mailing Address
-- DAVID REESE MCCULLOUGH LPC
2 N WATER ST
SAPULPA, OK 74066-2816
Phone number: 918-224-0225
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