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Individual

JACQUELINE COATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 SE 4TH ST STE A, MOORE, OK 73160-7328
(405) 837-1033
Mailing address
1932 E LINDSEY ST APT 116, NORMAN, OK 73071-1866
(405) 818-8527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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