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1205100328
LANAS LONG
WOODWARD, OK
NPI
1205100328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-07
Last Update Date
2012-03-07
Business Address
-- LANAS LONG
202639 E. COUNTY ROAD 42
WOODWARD, OK 73801-5442
Phone number: 580-254-5322
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Mailing Address
-- LANAS LONG
202639 E. COUNTY ROAD 42
WOODWARD, OK 73801-5442
Phone number:
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