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1225417306
JESSICA GAINES
LAWTON, OK
NPI
1225417306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
JESSICA GAINES
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 214-600-9509
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Mailing Address
JESSICA GAINES
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number:
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