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1831602507
MICHAEL STEVEN BACKORA
BARNSDALL, OK
NPI
1831602507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-11-15
Last Update Date
2020-08-07
Business Address
MICHAEL STEVEN BACKORA
401 W. MAIN ST.
BARNSDALL, OK 74002-6631
Phone number: 918-604-6054
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Mailing Address
MICHAEL STEVEN BACKORA
401 W. MAIN ST.
BARNSDALL, OK 74002-6631
Phone number: 918-604-6054
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