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1487989430
MARK L CARPENTER
OKLAHOMA CITY, OK
NPI
1487989430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-10-08
Last Update Date
2009-10-08
Business Address
-- MARK L CARPENTER
3033 N WALNUT AVE
OKLAHOMA CITY, OK 73105-2832
Phone number: 405-235-9709
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Mailing Address
-- MARK L CARPENTER
1524 1/2 SW BINKLEY ST
OKLAHOMA CITY, OK 73119-2221
Phone number: 405-235-9709
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