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1205148384
FRETTA VANZANT MOORE
ADA, OK
NPI
1205148384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
-- FRETTA VANZANT MOORE
901 W 18TH ST
ADA, OK 74820-7423
Phone number: 580-436-6130
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Mailing Address
-- FRETTA VANZANT MOORE
901 W 18TH ST
ADA, OK 74820-7423
Phone number: 580-436-6130
Copy
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