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1386998060
ODELL WAYNE SMITH
MUSKOGEE, OK
NPI
1386998060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-11-02
Last Update Date
2012-11-02
Business Address
-- ODELL WAYNE SMITH
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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Mailing Address
-- ODELL WAYNE SMITH
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
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