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Individual

DAVID GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 W QUESENBURY AVE, SALLISAW, OK 74955-3613
(479) 522-1792
Mailing address
PO BOX 181271, FORT SMITH, AR 72918-1271
(479) 522-1792

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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