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1790004901
ROBERT LAWRENCE JACKSON
TULSA, OK
NPI
1790004901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-27
Last Update Date
2011-10-14
Business Address
Mr. ROBERT LAWRENCE JACKSON
2448 E 81ST ST SUITE 4824 / CITIPLEXTOWERS
TULSA, OK 74137-4250
Phone number: 918-486-9996
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Mailing Address
Mr. ROBERT LAWRENCE JACKSON
2413 LARKHAVEN ST
NORMAN, OK 73071-4326
Phone number: 405-216-5608
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