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1083046262
TIMOTHY LANE SELLS
OKLAHOMA CITY, OK
NPI
1083046262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- TIMOTHY LANE SELLS
2808 NW 31ST ST
OKLAHOMA CITY, OK 73112-7407
Phone number: 405-848-7555
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Mailing Address
-- TIMOTHY LANE SELLS
2808 NW 31ST ST
OKLAHOMA CITY, OK 73112-7407
Phone number: 405-848-7555
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