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1467048405
JUSTIN WALLIS
OKLAHOMA CITY, OK
NPI
1467048405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
JUSTIN WALLIS
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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Mailing Address
JUSTIN WALLIS
1119 N ELLISON AVE
OKLAHOMA CITY, OK 73106-4605
Phone number: 682-209-2273
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