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1114357068
LISA MOORE
BOLEY, OK
NPI
1114357068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-11-13
Last Update Date
2013-11-13
Business Address
-- LISA MOORE
ROUTE 1 BOX 35D
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
-- LISA MOORE
PO BOX 218
BOLEY, OK 74829
Phone number: 918-667-3367
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