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1659771996
JESSICA PENDERGRAFT
ENID, OK
NPI
1659771996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 6723)
Enumeration Date
2014-08-22
Last Update Date
2023-11-02
Business Address
JESSICA PENDERGRAFT
300 W CHEROKEE AVE STE 102
ENID, OK 73701-5600
Phone number: 580-340-7235
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Mailing Address
JESSICA PENDERGRAFT
615 AMY DR
WAUKOMIS, OK 73773-1033
Phone number: 580-478-5035
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