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1528343563
JOHN ALLEN HAILE
CLAREMORE, OK
NPI
1528343563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-20
Last Update Date
2018-02-05
Business Address
JOHN ALLEN HAILE LADC/MH
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
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Mailing Address
JOHN ALLEN HAILE LADC/MH
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
Copy
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