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1396360640
JORDAN MARQUETT PRESLEY
WAGONER, OK
NPI
1396360640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
JORDAN MARQUETT PRESLEY
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-0242
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Mailing Address
JORDAN MARQUETT PRESLEY
3036 S 214TH ST W
BOYNTON, OK 74422-5103
Phone number: 539-286-9624
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