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1912282567
BERTHEOPHILUS MAURICE BAILEY
TULSA, OK
NPI
1912282567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-14
Last Update Date
2011-10-14
Business Address
Mr. BERTHEOPHILUS MAURICE BAILEY MHR, BHRS
3426 S 148TH EAST PL
TULSA, OK 74134-4806
Phone number: 918-282-9385
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Mailing Address
Mr. BERTHEOPHILUS MAURICE BAILEY MHR, BHRS
3426 S 148TH EAST PL
TULSA, OK 74134-4806
Phone number: 918-282-9385
Copy
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