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1194221242
SHENITA R JEFFERSON
EDMOND, OK
NPI
1194221242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-04-05
Last Update Date
2019-08-20
Business Address
SHENITA R JEFFERSON
700 PARKHURST TER
EDMOND, OK 73003-5062
Phone number: 405-822-3995
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Mailing Address
SHENITA R JEFFERSON
612 LAKESIDE CIR
EDMOND, OK 73012-6600
Phone number: 405-822-3995
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