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1306113568
BRIAN SCOTT LANCASTER
MUSTANG, OK
NPI
1306113568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
-- BRIAN SCOTT LANCASTER
329 E TWELVE OAKS TER
MUSTANG, OK 73064-4913
Phone number: 580-564-7282
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Mailing Address
-- BRIAN SCOTT LANCASTER
329 E TWELVE OAKS TER
MUSTANG, OK 73064-4913
Phone number: 405-256-0875
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