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1770785511
DELORIS A REESE
MANGUM, OK
NPI
1770785511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Ms. DELORIS A REESE BS
2 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3337
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Mailing Address
Ms. DELORIS A REESE BS
RR 1 BOX 100
GOTEBO, OK 73041-9617
Phone number: 580-538-5789
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