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1497967145
LINDA SUE LANNOM
TULSA, OK
NPI
1497967145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 167)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Ms. LINDA SUE LANNOM LADC
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
Ms. LINDA SUE LANNOM LADC
4726 E MARSHALL ST
TULSA, OK 74115-5260
Phone number: 918-838-2309
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