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1063950707
LORI DOUGLAS
MCALESTER, OK
NPI
1063950707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: 103TRO4OOX)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
-- LORI DOUGLAS
922 S 6TH ST.
MCALESTER, OK 74502-1234
Phone number: 918-698-7176
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Mailing Address
-- LORI DOUGLAS
PO BOX 1234
MCALESTER, OK 74502-1234
Phone number: 918-698-7176
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