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1508528399
JAMES BASHAW
LAWTON, OK
NPI
1508528399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
JAMES BASHAW
6221 W GORE BLVD
LAWTON, OK 73505-5836
Phone number: 580-351-9998
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Mailing Address
JAMES BASHAW
6221 W GORE BLVD
LAWTON, OK 73505-5836
Phone number: 580-351-9998
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