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1386927945
LEVI JACK TAYLOR
YUKON, OK
NPI
1386927945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- LEVI JACK TAYLOR
1501 W. COMMERCE
YUKON, OK 73099
Phone number: 405-354-1928
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Mailing Address
-- LEVI JACK TAYLOR
1300 S. COUNTRY CLUB RD.
EL RENO, OK 73036
Phone number: 405-354-1928
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