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1235363250
GINGER LUANNE LEATHERWOOD
LAWTON, OK
NPI
1235363250
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Former Name
GINGER LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-05
Last Update Date
2009-05-05
Business Address
-- GINGER LUANNE LEATHERWOOD
1202 SW A AVE
LAWTON, OK 73501-3821
Phone number: 580-357-8114
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Mailing Address
-- GINGER LUANNE LEATHERWOOD
1202 SW A AVE
LAWTON, OK 73501-3821
Phone number: 580-357-8114
Copy
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