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1184902322
MARY LESLIE VANCE
DURANT, OK
NPI
1184902322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
-- MARY LESLIE VANCE
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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Mailing Address
-- MARY LESLIE VANCE
162 COUNTY ROAD 42400
PARIS, TX 75462-3178
Phone number: 903-784-5507
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