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1649644691
TAYLOR LEWIS
POTEAU, OK
NPI
1649644691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 929126402)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
-- TAYLOR LEWIS
507 DEWEY AVE
POTEAU, OK 74953-4215
Phone number: 918-649-0172
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Mailing Address
-- TAYLOR LEWIS
507 DEWEY AVE
POTEAU, OK 74953-4215
Phone number:
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