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1194098533
JEFF JOHN LEATHERMAN
DURANT, OK
NPI
1194098533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
-- JEFF JOHN LEATHERMAN
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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Mailing Address
-- JEFF JOHN LEATHERMAN
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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