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1801078621
LURA LEA JAQUESS
BARNSDALL, OK
NPI
1801078621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
251V00000X Voluntary or Charitable
Enumeration Date
2007-12-04
Last Update Date
2012-05-14
Business Address
-- LURA LEA JAQUESS LCSW
609 CEDAR AVE.
BARNSDALL, OK 74002
Phone number: 918-637-7443
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Mailing Address
-- LURA LEA JAQUESS LCSW
609 CEDAR
BARNSDALL, OK 74002
Phone number: 918-637-7443
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