GARY LEWIS

OKLAHOMA CITY, OK
NPI1356769780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
Mr. GARY LEWIS
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Mailing Address
Mr. GARY LEWIS
12700 NE 37TH ST
SPENCER, OK 73084-9162
Phone number: 405-210-0772
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