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Individual

MR. RICHARD DEAN YAHOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1408 S SEMINOLE AVE, WEWOKA, OK 74884-3919
(469) 247-4058
Mailing address
1408 S SEMINOLE AVE, WEWOKA, OK 74884-3919
(469) 247-4058

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13457
TX
101YP2500X
Professional Counselor
Primary
1531
OK

Other

Enumeration date
06/13/2011
Last updated
06/13/2011
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