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1881904431
JOHN WITOSKY
TAHLEQUAH, OK
NPI
1881904431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 1228)
Enumeration Date
2010-10-18
Last Update Date
2016-01-14
Business Address
-- JOHN WITOSKY M.S.
1325 E BOONE ST
TAHLEQUAH, OK 74464-3361
Phone number: 918-207-4977
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Mailing Address
-- JOHN WITOSKY M.S.
22727 S 540 RD
TAHLEQUAH, OK 74464
Phone number: 918-207-4977
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