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1083961288
LANCE ALAN WEST
CLAREMORE, OK
NPI
1083961288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
-- LANCE ALAN WEST LADC
1010 E WILL ROGERS BLVD
CLAREMORE, OK 74017-6352
Phone number: 918-342-3334
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Mailing Address
-- LANCE ALAN WEST LADC
1010 E WILL ROGERS BLVD
CLAREMORE, OK 74017-6352
Phone number: 918-342-3334
Copy
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