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1235862954
KATIE DEAN LOGAN
PONCA CITY, OK
NPI
1235862954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK 166)
Enumeration Date
2022-07-09
Last Update Date
2022-07-09
Business Address
Mrs. KATIE DEAN LOGAN CTRS/L
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 844-458-2100
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Mailing Address
Mrs. KATIE DEAN LOGAN CTRS/L
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 844-458-2100
Copy
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