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Individual
GREGORY SCOTT MARMADUKE
Active
Individual
GREGORY SCOTT MARMADUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0196
OK
171M00000X
Case Manager/Care Coordinator
0196
OK
Other
Enumeration date
03/30/2007
Last updated
10/25/2021
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