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1992817563
MISTY MICHELE JORDAN
EL RENO, OK
NPI
1992817563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- MISTY MICHELE JORDAN
200 N CHOCTAW AVE SUITE 140
EL RENO, OK 73036-2624
Phone number: 405-262-3209
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Mailing Address
-- MISTY MICHELE JORDAN
141 SEQUOIA PARK DR
YUKON, OK 73099-5819
Phone number: 405-354-5645
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