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1922328384
DOUGLAS RAY RICHARDSON
MOORE, OK
NPI
1922328384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 714)
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
Mr. DOUGLAS RAY RICHARDSON LADC
1340 N EASTERN AVE
MOORE, OK 73160-5742
Phone number: 405-517-7679
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Mailing Address
Mr. DOUGLAS RAY RICHARDSON LADC
1340 N EASTERN AVE
MOORE, OK 73160-5742
Phone number: 405-517-7679
Copy
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