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1336404292
IRVING BACCUS
MIDWEST CITY, OK
NPI
1336404292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-06
Last Update Date
2012-07-06
Business Address
-- IRVING BACCUS BHRS
6000 E RENO AVE APT 1106
MIDWEST CITY, OK 73110-2013
Phone number: 405-659-5137
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Mailing Address
-- IRVING BACCUS BHRS
6000 E RENO AVE APT 1106
MIDWEST CITY, OK 73110-2013
Phone number: 405-659-5137
Copy
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