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1578076287
MIRANDA KING
TAHLEQUAH, OK
NPI
1578076287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
MIRANDA KING
1606 E DOWNING ST
TAHLEQUAH, OK 74464-2513
Phone number: 918-453-1217
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Mailing Address
MIRANDA KING
210 N. JT STITES BLVD.
SALLISAW, OK 74955-9301
Phone number: 918-775-7787
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