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1295093706
ELIZABETH JADE EASON
TISHOMINGO, OK
NPI
1295093706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 261Q00000X)
Enumeration Date
2012-05-03
Last Update Date
2012-05-03
Business Address
Mrs. ELIZABETH JADE EASON
201 S MURRAY ST
TISHOMINGO, OK 73460-2224
Phone number: 580-371-0321
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Mailing Address
Mrs. ELIZABETH JADE EASON
201 S MURRAY ST
TISHOMINGO, OK 73460-2224
Phone number: 580-371-0321
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