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1285153155
JOHNNY DALE GILMORE
DURANT, OK
NPI
1285153155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-09-12
Last Update Date
2017-09-19
Business Address
Mr. JOHNNY DALE GILMORE
1315 W TEXAS ST
DURANT, OK 74701-5749
Phone number: 580-280-9883
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Mailing Address
Mr. JOHNNY DALE GILMORE
1315 W TEXAS ST
DURANT, OK 74701-5749
Phone number:
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