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1033463088
JAQUELYN BETH WOTHERSPOON
SHAWNEE, OK
NPI
1033463088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-30
Last Update Date
2022-04-04
Business Address
JAQUELYN BETH WOTHERSPOON
1336 N HARRISON AVE
SHAWNEE, OK 74801-5206
Phone number: 405-424-7711
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Mailing Address
JAQUELYN BETH WOTHERSPOON
308 N KIMBERLY AVE
SHAWNEE, OK 74801-7514
Phone number: 775-722-6941
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