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1316595036
CRAIG VINCENT ARCHER
PONCA CITY, OK
NPI
1316595036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
CRAIG VINCENT ARCHER
401 FAIRVIEW AVE
PONCA CITY, OK 74601-1923
Phone number: 580-716-0655
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Mailing Address
CRAIG VINCENT ARCHER
401 FAIRVIEW AVE
PONCA CITY, OK 74601-1923
Phone number: 580-716-0655
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