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1124678941
JOANNA RENA PHILLIPS
OKLAHOMA CITY, OK
NPI
1124678941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OK 52145)
Enumeration Date
2019-09-13
Last Update Date
2019-09-13
Business Address
Mrs. JOANNA RENA PHILLIPS CPRSS
3144 SW 17TH ST
OKLAHOMA CITY, OK 73108-4245
Phone number: 405-922-6676
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Mailing Address
Mrs. JOANNA RENA PHILLIPS CPRSS
3144 SW 17TH ST
OKLAHOMA CITY, OK 73108-4245
Phone number: 405-922-6676
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