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1306961479
SELENE JAQUEZ
CLINTON, OK
NPI
1306961479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- SELENE JAQUEZ BSW
90 NORTH 31ST STREET
CLINTON, OK 73601
Phone number: 580-323-6021
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Mailing Address
-- SELENE JAQUEZ BSW
622 S 6TH ST
CLINTON, OK 73601-4616
Phone number: 580-515-0836
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