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1427314517
LATOSHA MARTHIA JACKSON
OKLAHOMA CITY, OK
NPI
1427314517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-04-03
Last Update Date
2012-04-03
Business Address
Ms. LATOSHA MARTHIA JACKSON
2619 N HARVEY AVE
OKLAHOMA CITY, OK 73103
Phone number: 405-525-3959
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Mailing Address
Ms. LATOSHA MARTHIA JACKSON
2619 N HARVEY AVE
OKLAHOMA CITY, OK 73103-3017
Phone number: 405-525-3959
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