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1619208063
MANOTE PROMMART
BROKEN ARROW, OK
NPI
1619208063
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Professional Name
MANOTE PROMMART
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
Mr. MANOTE PROMMART
1101 S 33RD ST
BROKEN ARROW, OK 74014-2929
Phone number: 918-497-8806
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Mailing Address
Mr. MANOTE PROMMART
1101 S 33RD ST
BROKEN ARROW, OK 74014-2929
Phone number: 918-497-8806
Copy
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