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1922436708
JESSE CHARLES
OKLAHOMA CITY, OK
NPI
1922436708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2013-10-14
Last Update Date
2022-07-21
Business Address
-- JESSE CHARLES
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107-6437
Phone number: 731-414-7050
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Mailing Address
-- JESSE CHARLES
PO BOX 12978
OKLAHOMA CITY, OK 73157-2978
Phone number: 731-414-7050
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