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1649598616
MICHAEL JAMES ELLISON
CLINTON, OK
NPI
1649598616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-05-14
Last Update Date
2010-05-14
Business Address
MICHAEL JAMES ELLISON BS EDUCATION
703 FRISCO AVE
CLINTON, OK 73601-3320
Phone number: 580-323-9100
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Mailing Address
MICHAEL JAMES ELLISON BS EDUCATION
703 FRISCO AVE
CLINTON, OK 73601-3320
Phone number: 580-323-9100
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