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1902018823
MARVIN EUGENE SMITH
OKLAHOMA CITY, OK
NPI
1902018823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- MARVIN EUGENE SMITH
425 NW 7TH ST
OKLAHOMA CITY, OK 73102
Phone number: 405-230-1148
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Mailing Address
-- MARVIN EUGENE SMITH
10611 TUMILTY AVE NONE
MIDWEST CITY, OK 73130-2227
Phone number: 405-769-9204
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