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1881067502
PAIGE VANDEGRIFT
TISHOMINGO, OK
NPI
1881067502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-03
Last Update Date
2024-04-17
Business Address
PAIGE VANDEGRIFT
817 E 6TH ST
TISHOMINGO, OK 73460-1800
Phone number: 580-371-2392
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Mailing Address
PAIGE VANDEGRIFT
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-421-4570
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