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1134366396
MARK DOUGLAS KINNISON
TULSA, OK
NPI
1134366396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3008)
Enumeration Date
2009-01-09
Last Update Date
2009-01-09
Business Address
Mr. MARK DOUGLAS KINNISON M.Ed, CRC,LPC
5773 W 1ST ST
TULSA, OK 74127-5723
Phone number: 918-241-6705
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Mailing Address
Mr. MARK DOUGLAS KINNISON M.Ed, CRC,LPC
5773 W 1ST ST
TULSA, OK 74127-5723
Phone number: 918-241-6705
Copy
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