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1720419724
KERVIN WASHINGTON
ARDMORE, OK
NPI
1720419724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
-- KERVIN WASHINGTON
942 P ST SW
ARDMORE, OK 73401-3583
Phone number: 405-819-0084
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Mailing Address
-- KERVIN WASHINGTON
942 P ST SW
ARDMORE, OK 73401-3583
Phone number: 405-819-0084
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