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1720340177
JACQUELYN PIRTLE
ANTLERS, OK
NPI
1720340177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- JACQUELYN PIRTLE
903 W MAIN ST
ANTLERS, OK 74523-2045
Phone number: 580-298-3001
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Mailing Address
-- JACQUELYN PIRTLE
112 7TH AVE NE
ARDMORE, OK 73401-6826
Phone number: 580-598-3001
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