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1386991016
TRISTA DEEANN GANNON
ARDMORE, OK
NPI
1386991016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
Ms. TRISTA DEEANN GANNON
32 N WASHINGTON ST
ARDMORE, OK 73401-7013
Phone number: 580-226-5209
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Mailing Address
Ms. TRISTA DEEANN GANNON
PO BOX 1546
ARDMORE, OK 73402-1546
Phone number: 940-395-4985
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