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1093110611
JOHN DAVID LAND
SAPULPA, OK
NPI
1093110611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
JOHN DAVID LAND
4515 EDGEWOOD
SAPULPA, OK 74066-8908
Phone number: 918-734-9890
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Mailing Address
JOHN DAVID LAND
4515 EDGEWOOD
SAPULPA, OK 74066
Phone number:
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