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1073241477
KASSIE WALLER
ATOKA, OK
NPI
1073241477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
KASSIE WALLER
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525-7452
Phone number: 808-896-6115
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Mailing Address
KASSIE WALLER
1775 S GREATHOUSE DR
ATOKA, OK 74525-3434
Phone number: 580-889-6611
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