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1215219720
KIRK HODARI RUSSELL
ARDMORE, OK
NPI
1215219720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- KIRK HODARI RUSSELL BHRS
32 N WASHINGTON ST
ARDMORE, OK 73401-7013
Phone number: 580-226-5209
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Mailing Address
-- KIRK HODARI RUSSELL BHRS
527 2ND AVE SE
ARDMORE, OK 73401-8075
Phone number: 580-465-9293
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