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1154948966
IRMA ALICIA TREVINO
LAWTON, OK
NPI
1154948966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
IRMA ALICIA TREVINO
4829 NW FLOYD AVE
LAWTON, OK 73505-1628
Phone number: 580-458-9343
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Mailing Address
IRMA ALICIA TREVINO
4829 NW FLOYD AVE
LAWTON, OK 73505-1628
Phone number: 580-458-9343
Copy
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