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1871935197
RUSSELL CLIFFORD HODRICK
ARDMORE, OK
NPI
1871935197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-28
Last Update Date
2013-07-28
Business Address
-- RUSSELL CLIFFORD HODRICK
19 F ST NE
ARDMORE, OK 73401-7917
Phone number: 580-465-7045
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Mailing Address
-- RUSSELL CLIFFORD HODRICK
19 F ST NE
ARDMORE, OK 73401-7917
Phone number: 580-465-7045
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