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1336562446
CHARLES WOLVERTON
MIAMI, OK
NPI
1336562446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
-- CHARLES WOLVERTON
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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Mailing Address
-- CHARLES WOLVERTON
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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