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1285011858
JOHN T BENNETT
TULSA, OK
NPI
1285011858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2015-05-02
Last Update Date
2015-05-02
Business Address
Mr. JOHN T BENNETT
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
Mr. JOHN T BENNETT
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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