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Individual

JOHN SOAP JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(140) 542-4771
Mailing address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-4716
(405) 878-4708

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
OK

Other

Enumeration date
09/29/2014
Last updated
02/14/2024
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