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1386962769
JOWAHN DENEL POTEAT
ADA, OK
NPI
1386962769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-05-11
Last Update Date
2018-10-25
Business Address
JOWAHN DENEL POTEAT
1300 HOPPE BLVD. SUITE 4
ADA, OK 74820
Phone number: 580-272-5170
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Mailing Address
JOWAHN DENEL POTEAT
1300 HOPPE BLVD. SUITE 1
ADA, OK 74820
Phone number: 580-436-7211
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