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1497529564
DEMETRIUS ALLEN SMITH
SAPULPA, OK
NPI
1497529564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-11-09
Last Update Date
2023-11-14
Business Address
MR. DEMETRIUS ALLEN SMITH
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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Mailing Address
MR. DEMETRIUS ALLEN SMITH
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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