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Individual

MR. ROBERT S MILAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
1002 W GORE BLVD, LAWTON, OK 73501-3723
(580) 351-1010
(580) 351-0084
Mailing address
PO BOX 214, LAWTON, OK 73502-0214
(580) 351-1010
(580) 351-0084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
58
OK

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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