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1588780936
PHYLLIS LEWIS
ADA, OK
NPI
1588780936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- PHYLLIS LEWIS BA
704 N OAK AVE ROOM 20-21
ADA, OK 74820-3267
Phone number: 580-332-3001
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Mailing Address
-- PHYLLIS LEWIS BA
704 N OAK AVE ROOM 20-21
ADA, OK 74820-3267
Phone number: 580-332-3001
Copy
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