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1114339348
JOHN WALLS
OKLAHOMA CITY, OK
NPI
1114339348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-22
Last Update Date
2014-05-22
Business Address
-- JOHN WALLS
2012 NORTH VILLA AVENUE
OKLAHOMA CITY, OK 73107
Phone number: 405-885-9738
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Mailing Address
-- JOHN WALLS
2012 NORTH VILLA AVENUE
OKLAHOMA CITY, OK 73107
Phone number: 405-885-9738
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