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1366707481
LOUIS G GRAY
PAWHUSKA, OK
NPI
1366707481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
Mr. LOUIS G GRAY
1011 GRANDVIEW
PAWHUSKA, OK 74056
Phone number: 918-287-5415
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Mailing Address
Mr. LOUIS G GRAY
137 RAMBLEWOOD RD
BARTLESVILLE, OK 74003-1638
Phone number: 918-336-4073
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