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1356001952
DIANNA LYNN PHARAOH
SHAWNEE, OK
NPI
1356001952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK LPC02228)
Enumeration Date
2021-12-22
Last Update Date
2024-02-20
Business Address
DIANNA LYNN PHARAOH
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
DIANNA LYNN PHARAOH
36605 45TH ST
SHAWNEE, OK 74804-8882
Phone number: 405-054-2731
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