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1013631746
EMMA LOUISE FISHBACK
TULSA, OK
NPI
1013631746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
EMMA LOUISE FISHBACK
6216 S LEWIS AVE STE 102
TULSA, OK 74136-1075
Phone number: 918-416-4483
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Mailing Address
EMMA LOUISE FISHBACK
6008 E 62ND ST
TULSA, OK 74136-2133
Phone number: 918-938-2177
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