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1255920088
COURTNEY LAINE BLACK
ADA, OK
NPI
1255920088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
COURTNEY LAINE BLACK Case Management
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-235-0274
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Mailing Address
COURTNEY LAINE BLACK Case Management
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-235-0274
Copy
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