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1295015618
TELA LYNN FREDERICK
DURANT, OK
NPI
1295015618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
Ms. TELA LYNN FREDERICK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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Mailing Address
Ms. TELA LYNN FREDERICK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Copy
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