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1134491475
LESLIE JACOX
DURANT, OK
NPI
1134491475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2816)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
-- LESLIE JACOX LPC
134 N 12TH AVE
DURANT, OK 74701-4718
Phone number: 580-924-6363
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Mailing Address
-- LESLIE JACOX LPC
134 N 12TH AVE
DURANT, OK 74701-4718
Phone number: 580-924-6363
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