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1235451022
MICHAEL BEATTIE COLEMAN
ENID, OK
NPI
1235451022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 502)
Enumeration Date
2010-02-19
Last Update Date
2010-02-19
Business Address
Mr. MICHAEL BEATTIE COLEMAN LADC
404 N GRAND ST
ENID, OK 73701-3215
Phone number: 580-747-5327
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Mailing Address
Mr. MICHAEL BEATTIE COLEMAN LADC
1939 ARAPAHO DR
ENID, OK 73703-7666
Phone number: 580-747-5327
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