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1073996815
CHRISTINA M POWELL
TISHOMINGO, OK
NPI
1073996815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-06-29
Last Update Date
2015-06-29
Business Address
-- CHRISTINA M POWELL
512 E 24TH ST
TISHOMINGO, OK 73460-3214
Phone number: 580-371-3672
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Mailing Address
-- CHRISTINA M POWELL
1860 SAND POINT RD
MEAD, OK 73449-6688
Phone number: 580-380-9918
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