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1952039232
JAMES S BLACK
OKLAHOMA CITY, OK
NPI
1952039232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2022-08-12
Last Update Date
2022-08-18
Business Address
JAMES S BLACK
2701 NW 39TH EXPY
OKLAHOMA CITY, OK 73112-3775
Phone number: 405-371-1826
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Mailing Address
JAMES S BLACK
9900 W HIGHWAY 66 APT 1005
YUKON, OK 73099-0014
Phone number: 405-371-1826
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