TERRY J LONG

EDMOND, OK
NPI1710208301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-06-17
Last Update Date2010-06-17
Business Address
-- TERRY J LONG
15204 HIMALAYA RDG
EDMOND, OK 73013-9207
Phone number: 401-816-2814
Mailing Address
-- TERRY J LONG
15204 HIMALAYA RDG
EDMOND, OK 73013-9207
Phone number: 405-816-2814
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