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1508404740
JESSICA MARIE ORTIZ
BLACKWELL, OK
NPI
1508404740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 1392)
Enumeration Date
2019-12-18
Last Update Date
2022-08-10
Business Address
JESSICA MARIE ORTIZ
1313 W FERGUSON AVE
BLACKWELL, OK 74631-5604
Phone number: 580-789-3100
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Mailing Address
JESSICA MARIE ORTIZ
1313 W FERGUSON AVE
BLACKWELL, OK 74631-5604
Phone number: 580-789-3100
Copy
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