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1417212333
ANTWON DEMETRIUS MOORE
OKLAHOMA CITY, OK
NPI
1417212333
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Other Name
ANTWON DEMETRIUS BURKS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK J082366771)
Enumeration Date
2012-07-06
Last Update Date
2012-07-06
Business Address
-- ANTWON DEMETRIUS MOORE
500 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107-5700
Phone number: 405-601-1716
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Mailing Address
-- ANTWON DEMETRIUS MOORE
811 N OAK ST
PONCA CITY, OK 74601-3216
Phone number: 580-491-0699
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