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1306256235
MITZY KANTOR
CLAREMORE, OK
NPI
1306256235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
-- MITZY KANTOR
901 E 11TH ST
CLAREMORE, OK 74017-6443
Phone number: 918-813-5304
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Mailing Address
-- MITZY KANTOR
901 E 11TH ST
CLAREMORE, OK 74017-6443
Phone number: 918-813-5304
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