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1740573492
COLLINS C ONU
OKLAHOMA CITY, OK
NPI
1740573492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
-- COLLINS C ONU LADC (under super)
11440 WALTERS AVE
OKLAHOMA CITY, OK 73162-1315
Phone number: 405-728-0525
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Mailing Address
-- COLLINS C ONU LADC (under super)
11440 WALTERS AVE
OKLAHOMA CITY, OK 73162-1315
Phone number: 405-728-0525
Copy
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