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1700081023
JOHNA MADDEN
WAGONER, OK
NPI
1700081023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 179)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- JOHNA MADDEN
301 SE 11TH ST
WAGONER, OK 74467-7513
Phone number: 918-485-8404
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Mailing Address
-- JOHNA MADDEN
PO BOX 558
TAHLEQUAH, OK 74465-0558
Phone number: 918-485-8404
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