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1245514025
JOHN WALENCIAK
TULSA, OK
NPI
1245514025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- JOHN WALENCIAK
1870 S BOULDER AVE
TULSA, OK 74119-5234
Phone number: 918-585-1213
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Mailing Address
-- JOHN WALENCIAK
1870 S BOULDER AVE
TULSA, OK 74119-5234
Phone number: 918-585-1213
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