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1780080614
CHRISTIAN CARL GREEN
TULSA, OK
NPI
1780080614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK U082662103)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- CHRISTIAN CARL GREEN
11428 E 20TH ST
TULSA, OK 74128-6451
Phone number: 918-878-7877
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Mailing Address
-- CHRISTIAN CARL GREEN
7402 S VICTOR AVE APT 1612
TULSA, OK 74136-7443
Phone number: 918-695-4100
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