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1134600513
LEWIS JERMONE TAYLOR
TULSA, OK
NPI
1134600513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
LEWIS JERMONE TAYLOR
3211 E 32ND ST N
TULSA, OK 74110-1604
Phone number: 539-525-0655
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Mailing Address
LEWIS JERMONE TAYLOR
3211 E 32ND ST N
TULSA, OK 74110-1604
Phone number: 539-525-0655
Copy
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