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1013287234
JENNIFER MOORE
EDMOND, OK
NPI
1013287234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 3841)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
-- JENNIFER MOORE CCC-SLP
301 S BOULEVARD
EDMOND, OK 73034-3878
Phone number: 405-285-6765
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Mailing Address
-- JENNIFER MOORE CCC-SLP
640 AFFIRMED DR
EDMOND, OK 73025-9762
Phone number: 918-728-1990
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