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1679913362
RUSSELL ANDREW BROWN
ADA, OK
NPI
1679913362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 200262980C)
Enumeration Date
2013-06-27
Last Update Date
2013-09-17
Business Address
-- RUSSELL ANDREW BROWN
2036 AHLOSO RD.
ADA, OK 74820
Phone number: 580-320-4426
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Mailing Address
-- RUSSELL ANDREW BROWN
PO BOX 2646
ADA, OK 74821-2646
Phone number: 580-320-4426
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