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1528370947
JERRY DON MOORE
DUNCAN, OK
NPI
1528370947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 0142)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
Mr. JERRY DON MOORE LBP
7 N 8TH ST
DUNCAN, OK 73533-4601
Phone number: 580-475-7162
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Mailing Address
Mr. JERRY DON MOORE LBP
1315 W CEDAR AVE
DUNCAN, OK 73533-4057
Phone number: 580-475-7162
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