1790057057

Everything you always wanted to know about NARCONON OF OKLAHOMA, INC. 3 ARROWHEAD MEDICAL DETOX SMITH GARY but were afraid to ask.

NARCONON OF OKLAHOMA, INC. 3 ARROWHEAD MEDICAL DETOX SMITH GARY

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Last Name Authorized Official First Name
NARCONON OF OKLAHOMA, INC. 3 ARROWHEAD MEDICAL DETOX SMITH GARY
Gender:
none
Enumeration date:
2012-02-02
Last update date:
2012-02-02
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
324500000X Substance Abuse Rehabilitation Facility none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 9183395800
Practice Location Address Telephone Number 9183395800
Authorized Official Telephone Number 9183395800

Addresses

Type Address City State Postal Country
Mailing Address 69 ARROWHEAD LOOP CANADIAN OK 74425 OK
Practice Location Address 1500 S GEORGE NIGH EXPY MCALESTER OK 0 OK

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1114222015 FONTENOT, MARCUS
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1174828156 THOMPSON, TERRENCE
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1194137463 COOPER, KIMBERLY
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1205131927 STEWART, VICTOR
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1235497785 WALLIS, AARON
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1285939298 MAGEE, MICHAEL
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1326343260 FONTENOT, REBECCA
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1336444306 PATENAUDE, RONALD
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1366724924 WALLIN, LEE
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1386056109 ALEXANDER-RICHMOND, NELLABETH
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1457887739 LAMB, CRYSTAL
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1467759134 LANDERS, ANTHONY
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1609287382 WILKINS, ROBERT
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1699174284 HALLMARK, DERRY
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1750686440 SOUTHERLAND, CHRISTY
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1750792420 JONES, LARRY
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1760787725 SHIELDS, RYAN
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1770995516 BURKHART, LIBERTY
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1790199263 POINTEK, RYAN
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1912202870 PRINCE, ALEX
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1932404092 RUSSELL, ADAM
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1932511789 LOTT, WILLIAM
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69 ARROWHEAD LOOP OK CANADIAN
1952611261 FLUCARD SMITH, VICKI
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1962811802 LESLIE, DYLAN
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1982909651 WATT, VICKI
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1992163547 SHUMAN, MICHAEL
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NPI Name Address State City
1023420098 ROSS, JUSTIN
Individual
69 ARROWHEAD LOOP OK CANADIAN
1073924817 TAYLOR, KALON
Individual
69 ARROWHEAD LOOP OK CANADIAN
1104191683 SWEATT, KAREN
Individual
69 ARROWHEAD LOOP OK CANADIAN
1104237171 JONES, MAX
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69 ARROWHEAD LOOP OK CANADIAN
1194137463 COOPER, KIMBERLY
Individual
69 ARROWHEAD LOOP OK CANADIAN
1235497785 WALLIS, AARON
Individual
69 ARROWHEAD LOOP OK CANADIAN
1285045807 WATKINS, JANET
Individual
69 ARROWHEAD LOOP OK CANADIAN
1366724924 WALLIN, LEE
Individual
69 ARROWHEAD LOOP OK CANADIAN
1386056109 ALEXANDER-RICHMOND, NELLABETH
Individual
69 ARROWHEAD LOOP OK CANADIAN
1417356015 MILLER, HEATHER
Individual
69 ARROWHEAD LOOP OK CANADIAN
1457887739 LAMB, CRYSTAL
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69 ARROWHEAD LOOP OK CANADIAN
1518324250 FLUCARD, CHARLES
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69 ARROWHEAD LOOP OK CANADIAN
1609287382 WILKINS, ROBERT
Individual
69 ARROWHEAD LOOP OK CANADIAN
1689085284 FRAZEE, SHIRLEY
Individual
69 ARROWHEAD LOOP OK CANADIAN
1699174284 HALLMARK, DERRY
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69 ARROWHEAD LOOP OK CANADIAN
1750792420 JONES, LARRY
Individual
69 ARROWHEAD LOOP OK CANADIAN
1770995516 BURKHART, LIBERTY
Individual
69 ARROWHEAD LOOP OK CANADIAN
1790199263 POINTEK, RYAN
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69 ARROWHEAD LOOP OK CANADIAN
1821524109 JEROME, MANDY
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1831451715 PRUETT, DANNASUE
Individual
69 ARROWHEAD LOOP OK CANADIAN
1902217680 GUIRAGOSIAN-SCHOTTERS, TALIN
Individual
69 ARROWHEAD LOOP OK CANADIAN
1932510351 MOORE, SCOTT
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69 ARROWHEAD LOOP OK CANADIAN
1932511789 LOTT, WILLIAM
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1962811802 LESLIE, DYLAN
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69 ARROWHEAD LOOP OK CANADIAN
1962813501 MCGLUGRITCH, STEPHANY
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69 ARROWHEAD LOOP OK CANADIAN
1992163547 SHUMAN, MICHAEL
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