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1093840332
ERIC LEE VANDE BRAKE
TULSA, OK
NPI
1093840332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OK 730LMFT)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Mr. ERIC LEE VANDE BRAKE MS LMFT
2325 S HARVARD
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
Mr. ERIC LEE VANDE BRAKE MS LMFT
650 S PEORIA
TULSA, OK 74120-4429
Phone number: 918-587-9471
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