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1760963987
ALONZO TALTON
TULSA, OK
NPI
1760963987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 1481)
Enumeration Date
2018-08-25
Last Update Date
2025-02-17
Business Address
Mr. ALONZO TALTON LADC/MH
15 W 6TH ST
TULSA, OK 74119-5415
Phone number: 918-295-5055
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Mailing Address
Mr. ALONZO TALTON LADC/MH
2919 EMBASSY ROW
FLOSSMOOR, IL 60422-2209
Phone number: 925-303-5807
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