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1871907592
JEFFREY EBBERTS
ARDMORE, OK
NPI
1871907592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
JEFFREY EBBERTS
2530 S COMMERCE ST BLDG B
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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Mailing Address
JEFFREY EBBERTS
2530 S COMMERCE ST BLDG B
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
Copy
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