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1992024954
JUDEAN ELIZABETH DERBY
ANTLERS, OK
NPI
1992024954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
Ms. JUDEAN ELIZABETH DERBY
204 SE A ST POB 615
ANTLERS, OK 74523-4021
Phone number: 580-239-9354
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Mailing Address
Ms. JUDEAN ELIZABETH DERBY
PO BOX 615 204 SE A
ANTLERS, OK 74523-0615
Phone number: 580-239-9354
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