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1346576261
LEASA NICHOLS
MIAMI, OK
NPI
1346576261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
-- LEASA NICHOLS
120 S TREATY RD
MIAMI, OK 74354-5326
Phone number: 918-540-1511
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Mailing Address
-- LEASA NICHOLS
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number: 918-273-1841
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