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1881701563
JASON CORNELIUS
CLINTON, OK
NPI
1881701563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- JASON CORNELIUS MEd., CM-A
90 N 31ST
CLINTON, OK 73601
Phone number: 580-323-0312
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Mailing Address
-- JASON CORNELIUS MEd., CM-A
132 MCKENZIE DR
WEATHERFORD, OK 73096-4327
Phone number:
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