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1144631904
JAYCI CAROL JACKS
DURANT, OK
NPI
1144631904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
-- JAYCI CAROL JACKS
5419 ROADRUNNER DR
DURANT, OK 74701-2452
Phone number: 580-271-0521
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Mailing Address
-- JAYCI CAROL JACKS
5419 ROADRUNNER DR
DURANT, OK 74701-2452
Phone number: 580-271-0521
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