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1831402023
BOB ERVIN LONG
TULSA, OK
NPI
1831402023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-07-16
Last Update Date
2010-07-16
Business Address
-- BOB ERVIN LONG ma
5903 E 35TH ST
TULSA, OK 74135-5305
Phone number: 918-289-0550
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Mailing Address
-- BOB ERVIN LONG ma
5903 E 35TH ST
TULSA, OK 74135-5305
Phone number: 918-289-0550
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