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1154626539
LUCAS EMIL STREETS
BETHANY, OK
NPI
1154626539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-01-17
Last Update Date
2011-01-17
Business Address
Mr. LUCAS EMIL STREETS
8116 NW 29TH ST
BETHANY, OK 73008-4321
Phone number: 405-596-5244
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Mailing Address
Mr. LUCAS EMIL STREETS
8116 NW 29TH ST
BETHANY, OK 73008-4321
Phone number: 405-596-5244
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