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1619172483
PHILLIP D SIMMONS
ADA, OK
NPI
1619172483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
Mr. PHILLIP D SIMMONS BA
704 N OAK AVE ROOM 20
ADA, OK 74820-3267
Phone number: 580-332-3001
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Mailing Address
Mr. PHILLIP D SIMMONS BA
522 W. 1ST ST.
ADA, OK 74820-3267
Phone number: 580-332-3001
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