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1710187711
JAMES KEITH SCHARDEIN
PRYOR, OK
NPI
1710187711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 104)
Enumeration Date
2007-07-19
Last Update Date
2007-07-19
Business Address
Mr. JAMES KEITH SCHARDEIN CADC
205 S ADAIR ST
PRYOR, OK 74361-5201
Phone number: 918-825-4872
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Mailing Address
Mr. JAMES KEITH SCHARDEIN CADC
205 S ADAIR ST
PRYOR, OK 74361-5201
Phone number: 918-825-4872
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