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1215350293
AMANDA JO LONG
WELLING, OK
NPI
1215350293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
Mrs. AMANDA JO LONG
27753 S WELLING RD
WELLING, OK 74471-2202
Phone number: 918-457-4999
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Mailing Address
Mrs. AMANDA JO LONG
PO BOX 734
STILWELL, OK 74960-0734
Phone number: 918-696-7453
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