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1164614038
RUTH KIRK
MUSKOGEE, OK
NPI
1164614038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 080578913)
Enumeration Date
2007-08-15
Last Update Date
2007-08-16
Business Address
-- RUTH KIRK
501 FREDONIA
MUSKOGEE, OK 74403
Phone number: 918-683-0124
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Mailing Address
-- RUTH KIRK
501 FREDONIA
MUSKOGEE, OK 74403
Phone number: 918-683-0124
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