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Individual

MICHAEL R DOYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
32300 S 625 RD, GROVE, OK 74344-6285
(918) 786-2930
(918) 786-5985
Mailing address
PO BOX 451585, GROVE, OK 74345-1585
(918) 786-2930
(918) 786-5985

Taxonomy

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

Other

Enumeration date
03/31/2012
Last updated
04/01/2012
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