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Individual

MR. DONALD COLE GALLUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
15867 COUNTY ROAD 3619 LOOP, ADA, OK 74820-1443
(580) 235-0203
Mailing address
15867 COUNTY ROAD 3619 LOOP, ADA, OK 74820-1443
(580) 235-0203

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/23/2012
Last updated
10/23/2012
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