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1730512179
WAKETA JALON WILSON
EDMOND, OK
NPI
1730512179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-08-20
Last Update Date
2013-08-20
Business Address
Ms. WAKETA JALON WILSON
2921 NW 156TH ST
EDMOND, OK 73013-2101
Phone number: 405-513-7794
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Mailing Address
Ms. WAKETA JALON WILSON
18520 RASTRO DR
EDMOND, OK 73012-9799
Phone number: 405-706-7478
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