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1912124488
JACK EDWARD MEEKS
ADA, OK
NPI
1912124488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. JACK EDWARD MEEKS CADC
122 S. BROADWAY AVE
ADA, OK 74820
Phone number: 580-332-8773
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Mailing Address
Mr. JACK EDWARD MEEKS CADC
122 S. BROADWAY AVE
ADA, OK 74820
Phone number: 580-332-8773
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