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1770126625
CHARLES JOE EDWARD WHITERS
OKLAHOMA CITY, OK
NPI
1770126625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
CHARLES JOE EDWARD WHITERS
201 BAINBRIDGE RD
OKLAHOMA CITY, OK 73114-7611
Phone number: 405-301-7653
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Mailing Address
CHARLES JOE EDWARD WHITERS
201 BAINBRIDGE RD
OKLAHOMA CITY, OK 73114-7611
Phone number: 405-301-7653
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