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1457763310
JILL HUCKABY
WAGONER, OK
NPI
1457763310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- JILL HUCKABY
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-485-0242
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Mailing Address
-- JILL HUCKABY
207 NW 2ND ST
WAGONER, OK 74467-4101
Phone number: 918-304-7535
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