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1184993297
TRACIE B GOODSPEED, LLC
MUSKOGEE, OK
NPI
1184993297
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Entity Type
Organization
Authorized Contact
TRACIE B GOODSPEED
Owner
918-687-3730
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 4461)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
TRACIE B GOODSPEED, LLC
3941 S 1ST ST W
MUSKOGEE, OK 74401-8915
Phone number: 918-687-3730
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Mailing Address
TRACIE B GOODSPEED, LLC
3941 S 1ST ST W
MUSKOGEE, OK 74401-8915
Phone number: 918-687-3730
Copy
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