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1326200437
MARY KELLY MOORE LACKEY
ELK CITY, OK
NPI
1326200437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2008-06-30
Last Update Date
2022-12-07
Business Address
MARY KELLY MOORE LACKEY
3080 W 3RD ST
ELK CITY, OK 73644-4323
Phone number: 405-424-7711
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Mailing Address
MARY KELLY MOORE LACKEY
PO BOX 99
THOMAS, OK 73669-0099
Phone number: 806-613-4885
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