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1528270337
KELLY LANGLEY
ANTLERS, OK
NPI
1528270337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-04
Last Update Date
2012-06-05
Business Address
-- KELLY LANGLEY
107 S HIGH ST
ANTLERS, OK 74523-3818
Phone number: 580-298-2830
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Mailing Address
-- KELLY LANGLEY
PO BOX 1030
ANTLERS, OK 74523-1030
Phone number: 580-298-2830
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