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1679845168
LEDELIA JACKSON
OKLAHOMA CITY, OK
NPI
1679845168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-31
Last Update Date
2012-01-31
Business Address
-- LEDELIA JACKSON
2405 W I 44 SERVICE RD STE 113
OKLAHOMA CITY, OK 73112-8771
Phone number: 405-604-6801
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Mailing Address
-- LEDELIA JACKSON
2405 W I 44 SERVICE RD STE 113
OKLAHOMA CITY, OK 73112-8771
Phone number: 405-604-6801
Copy
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