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1033457411
JERRY LYNN STANKEWITZ
POTEAU, OK
NPI
1033457411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-01-20
Last Update Date
2014-08-13
Business Address
JERRY LYNN STANKEWITZ
2104 N BROADWAY ST UNIT A
POTEAU, OK 74953-2538
Phone number: 918-647-0485
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Mailing Address
JERRY LYNN STANKEWITZ
2104 N BROADWAY ST UNIT A
POTEAU, OK 74953-2538
Phone number: 918-647-0485
Copy
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