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1164243002
CAROL LYNN VANDIVER
ENID, OK
NPI
1164243002
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Former Name
CAROL LYNN VANDIVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
Mrs. CAROL LYNN VANDIVER
1625 W GARRIOTT RD STE F
ENID, OK 73703-5653
Phone number: 580-242-4673
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Mailing Address
Mrs. CAROL LYNN VANDIVER
101 S JANE LN
ENID, OK 73703-5060
Phone number: 580-478-5650
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