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1659014090
DANIEL T BERNAL
SAPULPA, OK
NPI
1659014090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
DANIEL T BERNAL
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-512-6273
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Mailing Address
DANIEL T BERNAL
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number:
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