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1114136314
WILLIAM FRANK STOVALL
MCALESTER, OK
NPI
1114136314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 280)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM FRANK STOVALL ICADC, SAP
32 E CHEROKEE AVE STE 104
MCALESTER, OK 74501-5323
Phone number: 918-423-9400
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Mailing Address
Mr. WILLIAM FRANK STOVALL ICADC, SAP
HC 74 BOX 89-5
HARTSHORNE, OK 74547-9712
Phone number: 918-297-3047
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