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1255564399
RAY LAMAR EDWARDS
MOORE, OK
NPI
1255564399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-24
Last Update Date
2009-08-24
Business Address
Mr. RAY LAMAR EDWARDS MHR
624 NW 5TH ST
MOORE, OK 73160-3924
Phone number: 405-799-3379
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Mailing Address
Mr. RAY LAMAR EDWARDS MHR
2900 N ANDERSON RD
CHOCTAW, OK 73020-8704
Phone number: 405-799-3379
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