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1316126014
JAMES THOMAS BOONE
TULSA, OK
NPI
1316126014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 618)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
-- JAMES THOMAS BOONE LADC
3838 S CINCINNATI AVE
TULSA, OK 74105-3035
Phone number: 918-630-7484
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Mailing Address
-- JAMES THOMAS BOONE LADC
3838 S CINCINNATI AVE
TULSA, OK 74105-3035
Phone number: 918-630-7484
Copy
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