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1740519115
DAN LEWIS BENTON
MIDWEST CITY, OK
NPI
1740519115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 3468)
Enumeration Date
2009-12-15
Last Update Date
2009-12-15
Business Address
Mr. DAN LEWIS BENTON L.P.C
1212 S AIR DEPOT BLVD 43
MIDWEST CITY, OK 73110-4870
Phone number: 405-684-5884
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Mailing Address
Mr. DAN LEWIS BENTON L.P.C
9117 INDIAN CREEK DR
MIDWEST CITY, OK 73130-4265
Phone number: 405-684-5884
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