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1922846260
STACY LYNN POOLE
LAWTON, OK
NPI
1922846260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-19
Last Update Date
2024-07-19
Business Address
STACY LYNN POOLE
1302 HOMESTEAD DR STE G
LAWTON, OK 73505
Phone number: 714-477-4605
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Mailing Address
STACY LYNN POOLE
1509 HEATHERBROOK WAY
CACHE, OK 73527-7715
Phone number: 657-378-5862
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