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1235563719
GERALD E LEISCHNER
OKLAHOMA CITY, OK
NPI
1235563719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
Mr. GERALD E LEISCHNER
5401 SW 29TH ST
OKLAHOMA CITY, OK 73179-7602
Phone number: 405-681-2003
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Mailing Address
Mr. GERALD E LEISCHNER
6217 BROOKSIDE DR
OKLAHOMA CITY, OK 73132-5648
Phone number: 405-728-0962
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