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1194044214
ROBERTA DAYLE SMITH
MUSKOGEE, OK
NPI
1194044214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
Mr. ROBERTA DAYLE SMITH BHRS
2024 W BROADWAY ST
MUSKOGEE, OK 74401-2758
Phone number: 918-682-9292
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Mailing Address
Mr. ROBERTA DAYLE SMITH BHRS
15598 N 493 RD
TAHLEQUAH, OK 74464-1095
Phone number: 918-207-6687
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