DEETRA JACKSON

IDABEL, OK
NPI1326485582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-05-29
Last Update Date2013-05-29
Business Address
-- DEETRA JACKSON
411 S CENTRAL AVE
IDABEL, OK 74745-6059
Phone number: 580-286-5045
Mailing Address
-- DEETRA JACKSON
107 S HIGH ST
ANTLERS, OK 74523-3818
Phone number: 580-298-2830
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