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1407979958
JOHNNY MARK KIRK
TULSA, OK
NPI
1407979958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 582)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. JOHNNY MARK KIRK LADC
3604 N CINCINNATI
TULSA, OK 74106-1536
Phone number: 918-425-4200
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Mailing Address
Mr. JOHNNY MARK KIRK LADC
650 S PEORIA
TULSA, OK 74120-4429
Phone number: 918-587-9471
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