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1114122041
JILL ROBERTS
WYANDOTTE, OK
NPI
1114122041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 321)
Enumeration Date
2007-06-20
Last Update Date
2009-06-30
Business Address
-- JILL ROBERTS BS, CADC
69999 E 152 RD
WYANDOTTE, OK 74370-2224
Phone number: 918-541-5962
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Mailing Address
-- JILL ROBERTS BS, CADC
69999 E 152 RD
WYANDOTTE, OK 74370-2224
Phone number: 918-541-5962
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