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1376749788
GEMMA LEE MEADOR
ARDMORE, OK
NPI
1376749788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 449)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
-- GEMMA LEE MEADOR LADC
2530 SOUTH COMMERCE, BLDG. A
ARDMORE, OK 73401-1734
Phone number: 580-223-4550
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Mailing Address
-- GEMMA LEE MEADOR LADC
505 COTTONWOOD ST
ARDMORE, OK 73401-1734
Phone number: 580-223-4550
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