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1063626083
DIANA W BEAR
MIAMI, OK
NPI
1063626083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 320)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Mrs. DIANA W BEAR CADC
101 S MAIN ST
MIAMI, OK 74354-7024
Phone number: 918-542-5543
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Mailing Address
Mrs. DIANA W BEAR CADC
211 B ST SE
MIAMI, OK 74354-7705
Phone number: 918-542-7976
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