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1740590124
TEDDY WAYNE BERRY
OKLAHOMA CITY, OK
NPI
1740590124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
-- TEDDY WAYNE BERRY
936 SW 63RD ST.
OKLAHOMA CITY, OK 73139
Phone number: 405-574-6551
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Mailing Address
-- TEDDY WAYNE BERRY
936 SW 63RD ST.
OKLAHOMA CITY, OK 73139
Phone number: 405-574-6551
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