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1770903908
CLINTON HILL
TISHOMINGO, OK
NPI
1770903908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
-- CLINTON HILL
201 S MURRAY ST
TISHOMINGO, OK 73460-2224
Phone number: 580-371-0321
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Mailing Address
-- CLINTON HILL
7575 W 106TH ST APT 138
OVERLAND PARK, KS 66212-5920
Phone number: 620-381-0351
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