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1164250973
BRADLEY WAYNE HOUSE
HUGO, OK
NPI
1164250973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
BRADLEY WAYNE HOUSE MA
1212 E KIRK ST
HUGO, OK 74743-3607
Phone number: 580-326-5279
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Mailing Address
BRADLEY WAYNE HOUSE MA
1212 E KIRK ST
HUGO, OK 74743-3607
Phone number:
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