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1316263148
LACY CORNELIUS
YUKON, OK
NPI
1316263148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-19
Last Update Date
2010-04-19
Business Address
-- LACY CORNELIUS
428 S MUSTANG RD
YUKON, OK 73099-6754
Phone number: 405-577-5477
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Mailing Address
-- LACY CORNELIUS
428 S MUSTANG RD
YUKON, OK 73099-6754
Phone number: 405-577-5477
Copy
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