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1972054799
LATORIA PERRY
ARDMORE, OK
NPI
1972054799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- LATORIA PERRY
117 W BROADWAY ST # 301
ARDMORE, OK 73401-6226
Phone number: 580-490-3371
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Mailing Address
-- LATORIA PERRY
1203 VERNON RD
ARDMORE, OK 73401-3653
Phone number: 580-798-6734
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