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1528273604
HARLAN L ROSS
LAWTON, OK
NPI
1528273604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-11
Last Update Date
2011-01-07
Business Address
-- HARLAN L ROSS LADC U/S
1719 S.W. 11TH
LAWTON, OK 73501
Phone number: 580-581-1818
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Mailing Address
-- HARLAN L ROSS LADC U/S
112 W. MAIN
PURCELL, OK 73080
Phone number: 405-527-1785
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