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1184222309
JAMES GLENN MATTHEWS
ENID, OK
NPI
1184222309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OK 1215150644)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
JAMES GLENN MATTHEWS
1824 S VAN BUREN ST
ENID, OK 73703-7903
Phone number: 405-230-1181
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Mailing Address
JAMES GLENN MATTHEWS
1201 W WALLACE DR
ENID, OK 73703-7912
Phone number: 580-231-8915
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