KANDICE WALLIS

ADA, OK
NPI1023412012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
-- KANDICE WALLIS
314 S. BROADWAY ST. STE. 106
ADA, OK 74820
Phone number: 888-272-0210
Mailing Address
-- KANDICE WALLIS
PO BOX 662
PURCELL, OK 73080-0662
Phone number: 405-527-1785
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