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1679314884
STETSON WAYNE PURGASON
YUKON, OK
NPI
1679314884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK LPCCANDIDATE12208)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
STETSON WAYNE PURGASON
416 S MUSTANG RD STE B
YUKON, OK 73099-7314
Phone number: 405-254-7746
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Mailing Address
STETSON WAYNE PURGASON
5404 MALPASO CREEK DR
MUSTANG, OK 73064-4882
Phone number: 580-484-4900
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