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1114263001
JACKIE D JORDAN
OKLAHOMA CITY, OK
NPI
1114263001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: OK 490)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Ms. JACKIE D JORDAN MA, LADC
3700 N CLASSEN BLVD SUITE C-55
OKLAHOMA CITY, OK 73118-2872
Phone number: 405-605-0881
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Mailing Address
Ms. JACKIE D JORDAN MA, LADC
3700 N CLASSEN BLVD SUITE C-55
OKLAHOMA CITY, OK 73118-2872
Phone number: 405-605-0881
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