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1114393436
LARA JERNIGAN
CHICKASHA, OK
NPI
1114393436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2015-08-20
Last Update Date
2015-08-20
Business Address
-- LARA JERNIGAN
205 W CHICKASHA AVE SUITE 1
CHICKASHA, OK 73018-2690
Phone number: 405-222-3018
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Mailing Address
-- LARA JERNIGAN
205 W CHICKASHA AVE SUITE 1
CHICKASHA, OK 73018-2690
Phone number:
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