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1154706604
JESSICA L LATHEM
ENID, OK
NPI
1154706604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OK 4442)
Enumeration Date
2015-07-27
Last Update Date
2016-07-20
Business Address
JESSICA L LATHEM SLP-CCC
2615 E RANDOLPH AVE
ENID, OK 73701-4670
Phone number: 580-234-3734
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Mailing Address
JESSICA L LATHEM SLP-CCC
1370 N INTERSTATE DR STE 154
NORMAN, OK 73072-3377
Phone number: 405-307-6668
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