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1194009324
STACIA PAUL
ENID, OK
NPI
1194009324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 23084)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
-- STACIA PAUL bhcms
121 W. MAPLE
ENID, OK 73701
Phone number: 580-234-8865
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Mailing Address
-- STACIA PAUL bhcms
3537 CHICKADEE LANE
ENID, OK 73703
Phone number: 580-402-2788
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