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1356545016
MICHAEL IRA HOLLOWAY
OKLAHOMA CITY, OK
NPI
1356545016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL IRA HOLLOWAY
425 NW 7TH ST
OKLAHOMA CITY, OK 73102-2810
Phone number: 140-523-0115
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Mailing Address
Mr. MICHAEL IRA HOLLOWAY
3605 GREENWAY TER
DEL CITY, OK 73115-2717
Phone number:
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