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1083055933
KATHY L PENDERGRAFT
ANTLERS, OK
NPI
1083055933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-07-08
Last Update Date
2020-01-27
Business Address
Ms. KATHY L PENDERGRAFT
112 N HIGH ST
ANTLERS, OK 74523-2250
Phone number: 580-298-3001
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Mailing Address
Ms. KATHY L PENDERGRAFT
PO BOX 309
ANTLERS, OK 74523-0309
Phone number: 580-298-3001
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