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1497011217
THERESA MARCELES CONNELLY
MIDWEST CITY, OK
NPI
1497011217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2012-04-05
Last Update Date
2012-04-05
Business Address
-- THERESA MARCELES CONNELLY
351 N AIR DEPOT BLVD SUITE S
MIDWEST CITY, OK 73110-1700
Phone number: 405-610-6540
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Mailing Address
-- THERESA MARCELES CONNELLY
5613 N HIWASSEE RD
SPENCER, OK 73084-9413
Phone number: 405-610-6540
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