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1780028001
IAN MICHAEL SMITH
STILLWATER, OK
NPI
1780028001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 10038)
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-04-18
Last Update Date
2022-03-21
Business Address
IAN MICHAEL SMITH
712 DEVON ST
STILLWATER, OK 74074-1926
Phone number: 405-372-6100
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Mailing Address
IAN MICHAEL SMITH
1442 E OAK ST
CUSHING, OK 74023-3644
Phone number: 580-670-4511
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