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1033533351
CAROL WESSLYN JACKSON
OKMULGEE, OK
NPI
1033533351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-02-06
Last Update Date
2014-02-06
Business Address
MRS. CAROL WESSLYN JACKSON
10150 CELIA BERRYHILL RD
OKMULGEE, OK 74447-9013
Phone number: 918-752-0287
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Mailing Address
MRS. CAROL WESSLYN JACKSON
10150 CELIA BERRYHILL RD
OKMULGEE, OK 74447-9013
Phone number: 918-752-0287
Copy
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