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1295005460
VANESSA M BURRIS
IDABEL, OK
NPI
1295005460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- VANESSA M BURRIS
17 S CENTRAL AVE
IDABEL, OK 74745-4625
Phone number: 580-286-5184
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Mailing Address
-- VANESSA M BURRIS
17 S CENTRAL AVE
IDABEL, OK 74745-4625
Phone number: 580-286-5184
Copy
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