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1194095273
TRACY DIAN FOUNTAIN
WELLING, OK
NPI
1194095273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-06
Last Update Date
2012-01-06
Business Address
-- TRACY DIAN FOUNTAIN BHRS
27753 S WELLING RD
WELLING, OK 74471-2202
Phone number: 918-457-4999
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Mailing Address
-- TRACY DIAN FOUNTAIN BHRS
27753 S WELLING RD
WELLING, OK 74471-2202
Phone number: 918-457-4999
Copy
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