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1750655650
STACEY JOHNSON
MCALESTER, OK
NPI
1750655650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK Teacher)
Enumeration Date
2012-02-24
Last Update Date
2012-02-24
Business Address
-- STACEY JOHNSON
111 S MAIN ST
MCALESTER, OK 74501-5363
Phone number: 918-423-5204
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Mailing Address
-- STACEY JOHNSON
304 JANET LN
POCOLA, OK 74902-3361
Phone number: 479-221-7261
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