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1013775899
RACHEL WALLIS
ARDMORE, OK
NPI
1013775899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
RACHEL WALLIS
2530 S COMMERCE ST BLDG B
ARDMORE, OK 73401-5519
Phone number: 580-223-5636
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Mailing Address
RACHEL WALLIS
PO BOX 189
ARDMORE, OK 73402-0189
Phone number: 580-319-7305
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