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1124307798
KIMBERLY BRANTLEY
NORMAN, OK
NPI
1124307798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
KIMBERLY BRANTLEY
1311 FAY AVE
NORMAN, OK 73069-7735
Phone number: 405-476-1040
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Mailing Address
KIMBERLY BRANTLEY
1311 FAY AVE
NORMAN, OK 73069-7735
Phone number: 405-476-1040
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