GREGORY MATLOCK

IDABEL, OK
NPI1659697472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-04-19
Last Update Date2010-04-19
Business Address
-- GREGORY MATLOCK B.S.
116 SE AVE N
IDABEL, OK 74745-5234
Phone number: 580-286-6671
Mailing Address
-- GREGORY MATLOCK B.S.
116 SE AVE N
IDABEL, OK 74745-5234
Phone number: 580-286-6671
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