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1598514002
JUSTIN JOHN HEAPS
BROKEN ARROW, OK
NPI
1598514002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
JUSTIN JOHN HEAPS
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-355-0993
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Mailing Address
JUSTIN JOHN HEAPS
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-355-0993
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