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1740576503
ERNEST E LONG
OKLAHOMA CITY, OK
NPI
1740576503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-21
Last Update Date
2011-06-21
Business Address
Mr. ERNEST E LONG
2701 NE 19TH ST
OKLAHOMA CITY, OK 73111-1911
Phone number: 405-886-9161
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Mailing Address
Mr. ERNEST E LONG
2701 NE 19TH ST
OKLAHOMA CITY, OK 73111-1911
Phone number: 405-551-5053
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