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1255798914
JAN MATHESON COUNSELING
PONCA CITY, OK
NPI
1255798914
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Entity Type
Organization
Authorized Contact
JANET MARIE MATHESON
Owner
580-765-2639
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 1185)
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
JAN MATHESON COUNSELING
1918 LAKE RD
PONCA CITY, OK 74604-4800
Phone number: 580-765-2581
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Mailing Address
JAN MATHESON COUNSELING
1918 LAKE RD
PONCA CITY, OK 74604-4800
Phone number: 580-765-2581
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