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1871509562
RONALD CLARK BROUGHTON
TULSA, OK
NPI
1871509562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1872)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Mr. RONALD CLARK BROUGHTON LPC
201 S GARNETT RD
TULSA, OK 74128-1805
Phone number: 918-438-4257
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Mailing Address
Mr. RONALD CLARK BROUGHTON LPC
15000 E 87TH PL N
OWASSO, OK 74055-8480
Phone number: 918-376-2919
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