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1174774913
MYRTLE L COLLINS
WAGONER, OK
NPI
1174774913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- MYRTLE L COLLINS
32175 E 723 RD
WAGONER, OK 74467-7425
Phone number: 918-485-1552
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Mailing Address
-- MYRTLE L COLLINS
32175 E 723 RD
WAGONER, OK 74467-7425
Phone number: 918-485-1552
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