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1447543848
BERTHA MARIE GOSSETT
LAWTON, OK
NPI
1447543848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- BERTHA MARIE GOSSETT
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
-- BERTHA MARIE GOSSETT
607 NW 13TH ST
LAWTON, OK 73507-6525
Phone number: 580-514-3071
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