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1003118274
TANYA L EDGELL
BOLEY, OK
NPI
1003118274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
-- TANYA L EDGELL BA
RR 1,
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
-- TANYA L EDGELL BA
PO BOX 218
BOLEY, OK 74829
Phone number: 918-667-3367
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