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1285922096
SHAMIA JACKSON
MIDWEST CITY, OK
NPI
1285922096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
Ms. SHAMIA JACKSON
4036 PARKWOODS LN
MIDWEST CITY, OK 73110-7437
Phone number: 405-476-1709
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Mailing Address
Ms. SHAMIA JACKSON
4036 PARKWOODS LN
MIDWEST CITY, OK 73110-7437
Phone number: 405-476-1709
Copy
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