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1578154720
SAVANNAH GRASS
TULSA, OK
NPI
1578154720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-01-31
Last Update Date
2021-01-31
Business Address
SAVANNAH GRASS
6333 E SKELLY DR
TULSA, OK 74135
Phone number: 918-664-4224
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Mailing Address
SAVANNAH GRASS
20210 EAST ADMIRAL PL APT 328
CATOOSA, OK 74015
Phone number: 918-497-0286
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