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1205186293
JACLYN L LEE
MUSKOGEE, OK
NPI
1205186293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- JACLYN L LEE MSW
501 FREDONIA ST
MUSKOGEE, OK 74403-3330
Phone number: 918-683-0124
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Mailing Address
-- JACLYN L LEE MSW
PO BOX 1267
MUSKOGEE, OK 74402-1267
Phone number: 918-683-0124
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