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1659632503
DEMETRICK LEWAYNE DAVIS
OKLAHOMA CITY, OK
NPI
1659632503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
Mr. DEMETRICK LEWAYNE DAVIS
3208 NE OVERBROOK DR
OKLAHOMA CITY, OK 73121-2853
Phone number: 405-885-3651
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Mailing Address
Mr. DEMETRICK LEWAYNE DAVIS
3208 N.E. OVERBROOK DR.
OKLAHOMA CITY, OK 73121
Phone number: 405-885-3651
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