DONNA LONGBRAKE

PONCA CITY, OK
NPI1326249640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
-- DONNA LONGBRAKE B.S.
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
Mailing Address
-- DONNA LONGBRAKE B.S.
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
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