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1013132018
JESSICA LOREN BUCHANAN
SHAWNEE, OK
NPI
1013132018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- JESSICA LOREN BUCHANAN MBA
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-878-1135
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Mailing Address
-- JESSICA LOREN BUCHANAN MBA
RR 1 BOX 383
STROUD, OK 74079-9712
Phone number: 580-310-4670
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