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1891030607
MATTHEW ALAN SPENCER
CLAREMORE, OK
NPI
1891030607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-12-05
Last Update Date
2014-09-16
Business Address
-- MATTHEW ALAN SPENCER
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-342-0770
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Mailing Address
-- MATTHEW ALAN SPENCER
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number: 918-273-1841
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