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1336657279
SIDNEY SHEYENNE KIMBLE
TAHLEQUAH, OK
NPI
1336657279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
Miss SIDNEY SHEYENNE KIMBLE BS
1429 JACK BROWN LANE
TAHLEQUAH, OK 74464
Phone number: 918-316-3000
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Mailing Address
Miss SIDNEY SHEYENNE KIMBLE BS
718 N JONES AVE
TAHLEQUAH, OK 74464-2215
Phone number: 918-207-2192
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