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1225478548
DEREK CHARLES BROWN
OKLAHOMA CITY, OK
NPI
1225478548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 1578690137)
Enumeration Date
2013-07-01
Last Update Date
2013-07-01
Business Address
Mr. DEREK CHARLES BROWN
3621 N KELLEY AVE STE. 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
Mr. DEREK CHARLES BROWN
2825 PHEASANT RUN
EDMOND, OK 73012-6607
Phone number: 405-395-8610
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