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1174140883
MICHELLE ELAINE RUTHERFORD
PAULS VALLEY, OK
NPI
1174140883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
MICHELLE ELAINE RUTHERFORD
109 S WILLOW ST
PAULS VALLEY, OK 73075-3833
Phone number: 405-238-7311
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Mailing Address
MICHELLE ELAINE RUTHERFORD
109 S WILLOW ST
PAULS VALLEY, OK 73075-3833
Phone number: 405-238-7311
Copy
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