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1699438804
KATELYN BUSH
TISHOMINGO, OK
NPI
1699438804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
KATELYN BUSH
108 W MAIN ST
TISHOMINGO, OK 73460-1723
Phone number: 580-371-3019
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Mailing Address
KATELYN BUSH
108 W MAIN ST
TISHOMINGO, OK 73460-1723
Phone number: 580-371-0139
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