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1043910888
CASEY LEROY FIELDS
SAPULPA, OK
NPI
1043910888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
CASEY LEROY FIELDS
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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Mailing Address
CASEY LEROY FIELDS
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
Copy
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