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1699974584
IRVIN DWAYNE PROFIT
TULSA, OK
NPI
1699974584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-12
Last Update Date
2013-09-26
Business Address
-- IRVIN DWAYNE PROFIT LADC U/S
5319 S. LEWIS, STE 219
TULSA, OK 74105
Phone number: 918-832-7763
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Mailing Address
-- IRVIN DWAYNE PROFIT LADC U/S
5319 S. LEWIS, STE 219
TULSA, OK 74105
Phone number: 918-832-7763
Copy
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