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1700044302
VICKIE KIRK
DURANT, OK
NPI
1700044302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 2280)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
-- VICKIE KIRK MBC, LPC
1105 LYNNWOOD ST
DURANT, OK 74701-2919
Phone number: 580-931-3441
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Mailing Address
-- VICKIE KIRK MBC, LPC
PO BOX 813
DURANT, OK 74702-0813
Phone number: 580-931-3441
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