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1255968145
JOHN HOFFERBER
PONCA CITY, OK
NPI
1255968145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
JOHN HOFFERBER
2225 N UNION ST
PONCA CITY, OK 74601-1555
Phone number: 806-567-4111
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Mailing Address
JOHN HOFFERBER
600 E WALNUT AVE APT C
PONCA CITY, OK 74601-5527
Phone number: 806-567-4111
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