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1659679785
MICHAEL L DOUGLAS
TULSA, OK
NPI
1659679785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-03-14
Last Update Date
2011-03-14
Business Address
Mr. MICHAEL L DOUGLAS
1523 N BOSTON PL
TULSA, OK 74106-4103
Phone number: 918-584-1254
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Mailing Address
Mr. MICHAEL L DOUGLAS
1523 N BOSTON PL
TULSA, OK 74106-4103
Phone number: 918-584-1254
Copy
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