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1922651249
TIMOTHY AARON VICK
OKLAHOMA CITY, OK
NPI
1922651249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-17
Last Update Date
2019-07-17
Business Address
TIMOTHY AARON VICK
5101 NW 26TH ST
OKLAHOMA CITY, OK 73127-1723
Phone number: 405-446-2751
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Mailing Address
TIMOTHY AARON VICK
5101 NW 26TH ST
OKLAHOMA CITY, OK 73127-1723
Phone number: 405-446-2751
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