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1942573308
FORREST JOSHUA CHAMPION
EL RENO, OK
NPI
1942573308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
Mr. FORREST JOSHUA CHAMPION
7777 E US HIGHWAY 66
EL RENO, OK 73036-9125
Phone number: 405-422-8800
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Mailing Address
Mr. FORREST JOSHUA CHAMPION
6902 NW 37TH ST
BETHANY, OK 73008-3323
Phone number: 405-570-0319
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