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1629474705
LISA I KENNERSON
OKLAHOMA CITY, OK
NPI
1629474705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-17
Last Update Date
2014-11-17
Business Address
-- LISA I KENNERSON
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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Mailing Address
-- LISA I KENNERSON
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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