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1366800344
GLEN MICHAEL BAISLEY
TULSA, OK
NPI
1366800344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 4835)
Enumeration Date
2016-02-04
Last Update Date
2016-02-04
Business Address
Mr. GLEN MICHAEL BAISLEY LPC
4830 S 67TH EAST AVE
TULSA, OK 74145-5838
Phone number: 918-734-1399
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Mailing Address
Mr. GLEN MICHAEL BAISLEY LPC
4830 S 67TH EAST AVE
TULSA, OK 74145-5838
Phone number: 918-734-1399
Copy
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