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1265564587
KIMMY SUE-VANDIVER COOPER
EL RENO, OK
NPI
1265564587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- KIMMY SUE-VANDIVER COOPER
200 N CHOCTAW AVE SUITE 140
EL RENO, OK 73036-2624
Phone number: 405-262-3209
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Mailing Address
-- KIMMY SUE-VANDIVER COOPER
400 S RANCHWOOD BLVD TRLR 92
YUKON, OK 73099-2731
Phone number: 405-262-3209
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