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1679926026
SAMANTHA FULTZ
CLAREMORE, OK
NPI
1679926026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-21
Last Update Date
2017-01-16
Business Address
-- SAMANTHA FULTZ
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
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Mailing Address
-- SAMANTHA FULTZ
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
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