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1275135337
TRACEY LORANN BIDDLE
PONCA CITY, OK
NPI
1275135337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 45845)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
TRACEY LORANN BIDDLE
827 E HUBBARD RD
PONCA CITY, OK 74601-1073
Phone number: 580-762-3217
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Mailing Address
TRACEY LORANN BIDDLE
189 QUAIL RIDGE RD
PONCA CITY, OK 74604-6078
Phone number: 580-761-3595
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