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1255658944
SHELBY O TIDWELL
ADA, OK
NPI
1255658944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
Mr. SHELBY O TIDWELL BA, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
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Mailing Address
Mr. SHELBY O TIDWELL BA, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
Copy
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