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1184720385
CONNIE JILL TUCKER-SMITH
ENID, OK
NPI
1184720385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- CONNIE JILL TUCKER-SMITH BS
230 W MAPLE AVE
ENID, OK 73701-4012
Phone number: 580-242-5544
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Mailing Address
-- CONNIE JILL TUCKER-SMITH BS
230 W MAPLE AVE
ENID, OK 73701-4012
Phone number: 580-242-5544
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