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1467911412
LEERISA FREDERICK
YUKON, OK
NPI
1467911412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: 10584)
Enumeration Date
2019-03-19
Last Update Date
2023-12-08
Business Address
LEERISA FREDERICK
416 S MUSTANG RD STE B
YUKON, OK 73099-7314
Phone number: 405-494-0644
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Mailing Address
LEERISA FREDERICK
416 S MUSTANG RD STE B
YUKON, OK 73099-7314
Phone number: 405-448-6163
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