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1225622947
ELSA CHANTILE WILSON
TULSA, OK
NPI
1225622947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
ELSA CHANTILE WILSON
6016 S 66TH EAST AVE
TULSA, OK 74145-9210
Phone number: 918-764-9098
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Mailing Address
ELSA CHANTILE WILSON
454 S INDIANAPOLIS AVE
TULSA, OK 74112-2626
Phone number: 509-638-9294
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