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1639866676
MELVIN MARCELL SMITH
OKLAHOMA CITY, OK
NPI
1639866676
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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
2023-04-20
Last Update Date
2023-04-20
Business Address
MELVIN MARCELL SMITH
6510 S WESTERN AVE
OKLAHOMA CITY, OK 73139-1712
Phone number: 405-634-1497
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Mailing Address
MELVIN MARCELL SMITH
6510 S WESTERN AVE
OKLAHOMA CITY, OK 73139-1712
Phone number: 405-634-1497
Copy
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