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1295902260
CAMISHA BLACK
MUSKOGEE, OK
NPI
1295902260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
Mrs. CAMISHA BLACK BA
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
Mrs. CAMISHA BLACK BA
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
Copy
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