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1285012609
MAVERICK RAY PADGETT
ATOKA, OK
NPI
1285012609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
-- MAVERICK RAY PADGETT
1410 S GIN RD
ATOKA, OK 74525-7348
Phone number: 580-889-3399
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Mailing Address
-- MAVERICK RAY PADGETT
154 W SHADY LN
ATOKA, OK 74525-4005
Phone number: 580-279-8873
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