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1235450842
RICHARD DEAN BENNETT
SHAWNEE, OK
NPI
1235450842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
Mr. RICHARD DEAN BENNETT
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-878-1135
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Mailing Address
Mr. RICHARD DEAN BENNETT
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-878-1135
Copy
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