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1154562767
DALLAS MICHELLE COOPER
BOLEY, OK
NPI
1154562767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-03-11
Last Update Date
2009-03-11
Business Address
Mrs. DALLAS MICHELLE COOPER BSW, PSRS
RR 1, BOX 35D
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
Mrs. DALLAS MICHELLE COOPER BSW, PSRS
P. O. BOX 218
BOLEY, OK 74829
Phone number: 918-667-3367
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