MICHAEL IRA HOLLOWAY

OKLAHOMA CITY, OK
NPI1356545016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
Mr. MICHAEL IRA HOLLOWAY
425 NW 7TH ST
OKLAHOMA CITY, OK 73102-2810
Phone number: 140-523-0115
Mailing Address
Mr. MICHAEL IRA HOLLOWAY
3605 GREENWAY TER
DEL CITY, OK 73115-2717
Phone number:
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