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1265758957
FREDRICK KENYETTA MONTGOMERY
OKLAHOMA CITY, OK
NPI
1265758957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
Mr. FREDRICK KENYETTA MONTGOMERY
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
Mr. FREDRICK KENYETTA MONTGOMERY
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Copy
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