IDA S KEMUNTO MAGATI

MOORE, OK
NPI1558887356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-15
Last Update Date2017-08-15
Business Address
IDA S KEMUNTO MAGATI
626 N BROADWAY ST
MOORE, OK 73160-4814
Phone number: 405-588-7149
Mailing Address
IDA S KEMUNTO MAGATI
2424 ASHEBURY WAY
EDMOND, OK 73034-5855
Phone number: 405-588-7149
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