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1669501185
RICARDO GOMEZ-MENDOZA
CHOCTAW, OK
NPI
1669501185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- RICARDO GOMEZ-MENDOZA CADC
14625 NE 23RD
CHOCTAW, OK 73020
Phone number: 405-390-8131
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Mailing Address
-- RICARDO GOMEZ-MENDOZA CADC
PO BOX 695
CHOCTAW, OK 73020-0695
Phone number: 405-390-8131
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