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1720435407
JORDAN NICOLE HALE
PONCA CITY, OK
NPI
1720435407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 5214)
Enumeration Date
2016-05-23
Last Update Date
2020-02-03
Business Address
Miss JORDAN NICOLE HALE M.S., CCC-SLP
1400 N WAVERLY ST
PONCA CITY, OK 74601-2134
Phone number: 580-762-6668
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Mailing Address
Miss JORDAN NICOLE HALE M.S., CCC-SLP
2828 NW 21ST ST
OKLAHOMA CITY, OK 73107-3112
Phone number:
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