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1710204417
CRYSTAL DOUGLAS
ARDMORE, OK
NPI
1710204417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-21
Last Update Date
2012-07-17
Business Address
-- CRYSTAL DOUGLAS BHRS
2502 CROSSROADS DR
ARDMORE, OK 73401-2503
Phone number: 580-226-4800
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Mailing Address
-- CRYSTAL DOUGLAS BHRS
2502 CROSSROADS DR
ARDMORE, OK 73401-2503
Phone number: 580-226-4800
Copy
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