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1306962766
CHERI JAN TIPTON
SHAWNEE, OK
NPI
1306962766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 8530351294)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- CHERI JAN TIPTON
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391
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Mailing Address
-- CHERI JAN TIPTON
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391
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