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1326387192
CLYDE JEROME COULTER
MIDWEST CITY, OK
NPI
1326387192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK p080460188)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
-- CLYDE JEROME COULTER
9800 NE 10TH ST
MIDWEST CITY, OK 73130-1507
Phone number: 405-706-6945
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Mailing Address
-- CLYDE JEROME COULTER
9800 NE 10TH ST
MIDWEST CITY, OK 73130-1507
Phone number: 405-706-6945
Copy
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