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1477755320
MELISSA JEAN WALL
ADA, OK
NPI
1477755320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Ms. MELISSA JEAN WALL BHRS II
111 E 12TH ST
ADA, OK 74820-6501
Phone number: 580-436-2690
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Mailing Address
Ms. MELISSA JEAN WALL BHRS II
15164 COUNTY ROAD 3530
ADA, OK 74820-0801
Phone number: 580-399-9258
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