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1932826781
JENNIFER BANTLE
MOORE, OK
NPI
1932826781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2587)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
JENNIFER BANTLE LCSW
909 BRONZE MEDAL RD
MOORE, OK 73160-7971
Phone number: 405-590-6397
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Mailing Address
JENNIFER BANTLE LCSW
909 BRONZE MEDAL RD
MOORE, OK 73160-7971
Phone number: 405-590-6397
Copy
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