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1508283243
JOSEPH ADDISON
SAPULPA, OK
NPI
1508283243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- JOSEPH ADDISON
2 N WATER ST
SAPULPA, OK 74066-2816
Phone number: 918-224-0225
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Mailing Address
-- JOSEPH ADDISON
19675 S 49TH WEST AVE
MOUNDS, OK 74047-4697
Phone number:
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