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1083196950
DEREK NELSON
OKLAHOMA CITY, OK
NPI
1083196950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-06
Last Update Date
2018-09-06
Business Address
DEREK NELSON MS
9700 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159-6917
Phone number: 405-735-9732
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Mailing Address
DEREK NELSON MS
800 W SILVER MEADOW DR
MIDWEST CITY, OK 73110-1659
Phone number: 405-201-3598
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