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1598032575
KIMBERLY DAWN GRATE
BETHANY, OK
NPI
1598032575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2011-11-19
Last Update Date
2015-01-28
Business Address
-- KIMBERLY DAWN GRATE
6909 NW 60TTH STREET
BETHANY, OK 73008-1917
Phone number: 405-628-5982
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Mailing Address
-- KIMBERLY DAWN GRATE
6909 NW 60TH ST
BETHANY, OK 73008-1917
Phone number: 405-628-5982
Copy
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