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1184820631
BRENDA OTOTIVO
LAWTON, OK
NPI
1184820631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 301)
Enumeration Date
2007-06-22
Last Update Date
2011-09-30
Business Address
-- BRENDA OTOTIVO
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
-- BRENDA OTOTIVO
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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