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1265769343
JACKIE J MONK
ANTLERS, OK
NPI
1265769343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
-- JACKIE J MONK
608 HIGHWAY 271 N
ANTLERS, OK 74523-2055
Phone number: 580-298-5062
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Mailing Address
-- JACKIE J MONK
RR 1 BOX 181
GARVIN, OK 74736-9731
Phone number: 580-212-9055
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