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1457910275
JAKE O'BANNON
OKLAHOMA CITY, OK
NPI
1457910275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-06-06
Last Update Date
2024-07-31
Business Address
JAKE O'BANNON LPC
3035 NW 63RD ST STE N200
OKLAHOMA CITY, OK 73116-3632
Phone number: 405-808-2160
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Mailing Address
JAKE O'BANNON LPC
16612 SUNNY HOLLOW RD
EDMOND, OK 73012-6745
Phone number:
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