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Individual

MR. ROBERT ALBERT MILSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
Mailing address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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