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1467879023
GRACE JORDAN
TULSA, OK
NPI
1467879023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-03-20
Last Update Date
2014-03-20
Business Address
-- GRACE JORDAN
5555 S LEWIS AVE
TULSA, OK 74105-7104
Phone number: 918-779-8570
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Mailing Address
-- GRACE JORDAN
1716 MOHAWK BLVD
TULSA, OK 74110-1128
Phone number: 918-557-4795
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