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1285001347
VICKEY HODGE
SALLISAW, OK
NPI
1285001347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
-- VICKEY HODGE
108089 S 4670 RD
SALLISAW, OK 74955-8587
Phone number: 918-775-5525
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Mailing Address
-- VICKEY HODGE
108089 S 4670 RD
SALLISAW, OK 74955-8587
Phone number: 918-775-5525
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