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1871855981
LESLIE DAWN WALLACE
OKLAHOMA CITY, OK
NPI
1871855981
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Former Name
LESLIE DAWN TURNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- LESLIE DAWN WALLACE
908 NE 84TH ST
OKLAHOMA CITY, OK 73114-3912
Phone number: 405-608-0086
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Mailing Address
-- LESLIE DAWN WALLACE
908 NE 84TH ST
OKLAHOMA CITY, OK 73114-3912
Phone number: 405-608-0086
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