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1164183570
JACIE MARCUM
SHAWNEE, OK
NPI
1164183570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-07
Last Update Date
2022-01-07
Business Address
JACIE MARCUM
1336 N HARRISON AVE
SHAWNEE, OK 74801-5206
Phone number: 405-424-7711
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Mailing Address
JACIE MARCUM
1619 N 1ST ST
HARRAH, OK 73045-9711
Phone number: 405-996-7534
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