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1477813020
DEITRA ANN WOODY
SPENCER, OK
NPI
1477813020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-05-16
Last Update Date
2013-01-07
Business Address
-- DEITRA ANN WOODY MS
10920 NE 52ND ST
SPENCER, OK 73084-5217
Phone number: 405-628-8243
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Mailing Address
-- DEITRA ANN WOODY MS
10920 NE 52ND ST
SPENCER, OK 73084-5217
Phone number: 405-882-3231
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