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1447770086
CHARLES LYNN WILSON
CLAREMORE, OK
NPI
1447770086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 10690)
Enumeration Date
2017-06-25
Last Update Date
2022-04-12
Business Address
Mr. CHARLES LYNN WILSON MS
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017-3159
Phone number: 918-608-0380
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Mailing Address
Mr. CHARLES LYNN WILSON MS
1402 N FLORENCE AVE STE B
CLAREMORE, OK 74017-3159
Phone number: 186-080-3809
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