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1356554869
MARY MARTHA ROSS
MCALESTER, OK
NPI
1356554869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- MARY MARTHA ROSS B.A.
628 E CREEK AVE
MCALESTER, OK 74501-6930
Phone number: 918-423-6030
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Mailing Address
-- MARY MARTHA ROSS B.A.
PO BOX 326
KREBS, OK 74554-0326
Phone number: 918-470-4682
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