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1720530330
CODY SCOTT
ADA, OK
NPI
1720530330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2016-10-30
Last Update Date
2016-10-30
Business Address
-- CODY SCOTT
111 E 12TH ST
ADA, OK 74820-6501
Phone number: 580-436-2690
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Mailing Address
-- CODY SCOTT
111 E 12TH ST
ADA, OK 74820
Phone number: 580-436-2690
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