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1184169385
JOHN EDWARD OFFUTT
TULSA, OK
NPI
1184169385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 1444)
Enumeration Date
2016-12-23
Last Update Date
2024-09-10
Business Address
JOHN EDWARD OFFUTT
1019 N DENVER AVE # A
TULSA, OK 74106-5137
Phone number: 918-813-0721
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Mailing Address
JOHN EDWARD OFFUTT
628 N CHEYENNE AVE
TULSA, OK 74106-5122
Phone number: 918-813-0721
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