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1225288863
GEORGE WAYNE DURRENCE
ANTLERS, OK
NPI
1225288863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 0338)
Enumeration Date
2008-09-19
Last Update Date
2012-07-11
Business Address
Mr. GEORGE WAYNE DURRENCE MBS, LBP
304 SW C ST
ANTLERS, OK 74523-3849
Phone number: 580-298-3846
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Mailing Address
Mr. GEORGE WAYNE DURRENCE MBS, LBP
304 SW C ST
ANTLERS, OK 74523-3849
Phone number: 580-298-3846
Copy
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