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1912102336
HERBERT J. PERKINS
TAHLEQUAH, OK
NPI
1912102336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 552)
Enumeration Date
2007-06-16
Last Update Date
2007-07-08
Business Address
-- HERBERT J. PERKINS
1400 HENSLEY DR
TAHLEQUAH, OK 74464-5221
Phone number: 918-207-3000
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Mailing Address
-- HERBERT J. PERKINS
PO BOX 558
TAHLEQUAH, OK 74465-0558
Phone number: 918-207-3000
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