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1104163773
MICHAEL BRUCE ETZLER
EDMOND, OK
NPI
1104163773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-01-15
Last Update Date
2024-08-26
Business Address
MICHAEL BRUCE ETZLER
1218 E 9TH ST STE 4
EDMOND, OK 73034-5796
Phone number: 405-476-5826
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Mailing Address
MICHAEL BRUCE ETZLER
3905 SPRING HILL DR
EDMOND, OK 73013-6929
Phone number: 405-476-5826
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