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1124381777
DEREK COLVIN
EDMOND, OK
NPI
1124381777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 7201)
Enumeration Date
2012-06-19
Last Update Date
2020-02-07
Business Address
DEREK COLVIN BHRS
1732 S KELLY AVE
EDMOND, OK 73013-3630
Phone number: 405-642-5320
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Mailing Address
DEREK COLVIN BHRS
7405 NW 121ST ST
OKLAHOMA CITY, OK 73162-1518
Phone number: 405-642-5320
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