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1194305557
JUDY SHRUM
VINITA, OK
NPI
1194305557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
JUDY SHRUM
24919 S 4420 RD
VINITA, OK 74301
Phone number: 918-256-9210
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Mailing Address
JUDY SHRUM
PO BOX 98
VINITA, OK 74301-0098
Phone number: 918-323-2137
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