IRVING BACCUS

MIDWEST CITY, OK
NPI1336404292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-07-06
Last Update Date2012-07-06
Business Address
-- IRVING BACCUS BHRS
6000 E RENO AVE APT 1106
MIDWEST CITY, OK 73110-2013
Phone number: 405-659-5137
Mailing Address
-- IRVING BACCUS BHRS
6000 E RENO AVE APT 1106
MIDWEST CITY, OK 73110-2013
Phone number: 405-659-5137
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