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Individual

JULIA ANN MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
2816 E JACKSON ST, HUGO, OK 74743-4250
(580) 326-2155
(580) 326-2156
Mailing address
909 W MAIN ST, ANTLERS, OK 74523-2045
(580) 271-2262
(580) 298-6450

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200287120A
OK
Enumeration date
02/05/2013
Last updated
02/05/2013
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