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1568772978
BRADLEY SCOTT COLLINS
TULSA, OK
NPI
1568772978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 665)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
-- BRADLEY SCOTT COLLINS LADC
3015 E SKELLY DR STE 250
TULSA, OK 74105-6317
Phone number: 918-832-7763
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Mailing Address
-- BRADLEY SCOTT COLLINS LADC
3015 E SKELLY DR STE 250
TULSA, OK 74105-6317
Phone number: 918-832-7763
Copy
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