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1457702664
JEFFERY JORDAN
LAWTON, OK
NPI
1457702664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 6819)
Enumeration Date
2016-06-29
Last Update Date
2022-04-13
Business Address
JEFFERY JORDAN LPC
2215 NW CACHE RD STE 107
LAWTON, OK 73505-5239
Phone number: 580-351-9998
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Mailing Address
JEFFERY JORDAN LPC
6221 W GORE BLVD
LAWTON, OK 73505-5836
Phone number: 580-351-9998
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