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1083043699
JESSICA LYNN LEWIS
WAGONER, OK
NPI
1083043699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- JESSICA LYNN LEWIS
1002 SW 14TH PL
WAGONER, OK 74467-7744
Phone number: 918-687-5588
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Mailing Address
-- JESSICA LYNN LEWIS
1002 SW 14TH PL
WAGONER, OK 74467-7744
Phone number:
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