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1558610501
SUSAN TATE
ANTLERS, OK
NPI
1558610501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
-- SUSAN TATE PSRS
1322 W MAIN ST
ANTLERS, OK 74523-2016
Phone number: 580-298-5062
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Mailing Address
-- SUSAN TATE PSRS
1322 W MAIN ST
ANTLERS, OK 74523-2016
Phone number: 580-298-5062
Copy
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