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1194056374
BRIAN QUINN MILLER
SAPULPA, OK
NPI
1194056374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
-- BRIAN QUINN MILLER
2 N WATER
SAPULPA, OK 74066
Phone number: 918-224-0225
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Mailing Address
-- BRIAN QUINN MILLER
PO BOX 81
GLENPOOL, OK 74033-0081
Phone number: 918-827-3711
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