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1538530654
WILLIAM BRAD SHEPPARD
OKLAHOMA CITY, OK
NPI
1538530654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK D003749152)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- WILLIAM BRAD SHEPPARD
10900 S PENNSYLVANIA AVE APT 638
OKLAHOMA CITY, OK 73170-4247
Phone number: 405-520-4426
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Mailing Address
-- WILLIAM BRAD SHEPPARD
10900 S PENNSYLVANIA AVE APT 638
OKLAHOMA CITY, OK 73170-4247
Phone number: 405-520-4426
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