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1114360278
SIRFREEBIRD EDWARDS
ENID, OK
NPI
1114360278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
102X00000X Poetry Therapist
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- SIRFREEBIRD EDWARDS
623 E ILLINOIS AVE
ENID, OK 73701-7573
Phone number: 580-977-8602
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Mailing Address
-- SIRFREEBIRD EDWARDS
623 E ILLINOIS AVE
ENID, OK 73701-7573
Phone number: 580-977-8602
Copy
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