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1376812685
LANA MICHELLE MEDLOCK
DURANT, OK
NPI
1376812685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
Ms. LANA MICHELLE MEDLOCK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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Mailing Address
Ms. LANA MICHELLE MEDLOCK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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