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1447699905
JENNIFER NICOLE STANDRIDGE
TISHOMINGO, OK
NPI
1447699905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
-- JENNIFER NICOLE STANDRIDGE
512 E 24TH ST
TISHOMINGO, OK 73460-3214
Phone number: 580-371-3672
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Mailing Address
-- JENNIFER NICOLE STANDRIDGE
PO BOX 48
MEAD, OK 73449-0048
Phone number: 580-745-9610
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