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1154506137
GLENDA FAYE HAYNES
LAWTON, OK
NPI
1154506137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
-- GLENDA FAYE HAYNES BS
411 W GORE BLVD
LAWTON, OK 73501-3710
Phone number: 580-357-8166
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Mailing Address
-- GLENDA FAYE HAYNES BS
411 W GORE BLVD
LAWTON, OK 73501-3710
Phone number: 580-357-8166
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