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1154997740
JACINDA AMALYN VAN HOOSE
SAPULPA, OK
NPI
1154997740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-03
Last Update Date
2021-06-03
Business Address
JACINDA AMALYN VAN HOOSE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number: 918-227-2016
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Mailing Address
JACINDA AMALYN VAN HOOSE
23 E ROSS AVE
SAPULPA, OK 74066-6423
Phone number:
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