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1669799086
JENNIFER RENEA WALLACE
DURANT, OK
NPI
1669799086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-04-24
Last Update Date
2010-04-24
Business Address
-- JENNIFER RENEA WALLACE B.A
3802 W UNIVERSITY BLVD APT 8104
DURANT, OK 74701-3047
Phone number: 580-465-5961
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Mailing Address
-- JENNIFER RENEA WALLACE B.A
3802 W UNIVERSITY BLVD APT 8104
DURANT, OK 74701-3047
Phone number: 580-465-5961
Copy
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