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1396520177
CORY JEANS
CLAREMORE, OK
NPI
1396520177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YP1600X Counselor, Pastoral
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
CORY JEANS Reverend
1219 W DUPONT ST
CLAREMORE, OK 74017-5318
Phone number: 918-341-9400
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Mailing Address
CORY JEANS Reverend
1023 N MILLER DR
CLAREMORE, OK 74017-6622
Phone number: 918-833-1939
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