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1598103228
ANTHONY WATERS
GUTHRIE, OK
NPI
1598103228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK J083253267)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
-- ANTHONY WATERS
104 OAK PARK
GUTHRIE, OK 73044-5738
Phone number: 720-394-1196
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Mailing Address
-- ANTHONY WATERS
104 OAK PARK
GUTHRIE, OK 73044-5738
Phone number: 720-394-1196
Copy
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