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1770772444
GENIE JACKSON
WOODWARD, OK
NPI
1770772444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-18
Last Update Date
2007-10-18
Business Address
-- GENIE JACKSON
1222 10TH ST STE 211
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
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Mailing Address
-- GENIE JACKSON
1222 10TH ST STE 211
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
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