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1144956681
JENNIE SHAE WASHINGTON
TAHLEQUAH, OK
NPI
1144956681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
JENNIE SHAE WASHINGTON
1323 W KEETOOWAH ST
TAHLEQUAH, OK 74464-3462
Phone number: 918-506-6901
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Mailing Address
JENNIE SHAE WASHINGTON
19839 W 864 RD
PARK HILL, OK 74451-3015
Phone number: 918-718-1980
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