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1306072756
MICHAEL DEAN FANNING
SAPULPA, OK
NPI
1306072756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OK 950)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- MICHAEL DEAN FANNING LMFT
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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Mailing Address
-- MICHAEL DEAN FANNING LMFT
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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