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1811205198
CHRIS ROBERT PELTZER
ADA, OK
NPI
1811205198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
-- CHRIS ROBERT PELTZER MS
704 N OAK AVE STE 20
ADA, OK 74820-3267
Phone number: 580-332-3001
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Mailing Address
-- CHRIS ROBERT PELTZER MS
226 1/2 W 18TH ST
ADA, OK 74820-7622
Phone number: 580-332-3001
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