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1902465636
MICHAEL CREEKMORE
MIAMI, OK
NPI
1902465636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
MICHAEL CREEKMORE
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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Mailing Address
MICHAEL CREEKMORE
PO BOX 1271
MIAMI, OK 74355-1271
Phone number: 918-675-4100
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