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1770975385
PHILISHA J AUSTIN
TALIHINA, OK
NPI
1770975385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OK 322)
Enumeration Date
2015-02-19
Last Update Date
2015-02-19
Business Address
Mrs. PHILISHA J AUSTIN M.Ed., CADC
13597 SE 202ND RD
TALIHINA, OK 74571-6003
Phone number: 918-567-2905
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Mailing Address
Mrs. PHILISHA J AUSTIN M.Ed., CADC
PO BOX 185
CLAYTON, OK 74536-0185
Phone number: 918-567-2905
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