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1487852414
EILEEN RUTH WEIDES
CHOCTAW, OK
NPI
1487852414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 080639983)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
Ms. EILEEN RUTH WEIDES LADC ICAADC
14625 NE 23RD
CHOCTAW, OK 73020-0695
Phone number: 405-390-8131
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Mailing Address
Ms. EILEEN RUTH WEIDES LADC ICAADC
PO BOX 695
CHOCTAW, OK 73020-0695
Phone number: 405-390-8131
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