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1336839489
CARLETTA MARIE NIGHTFOXRUSHIN WILLIAMS HEARD
SHAWNEE, OK
NPI
1336839489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
CARLETTA MARIE NIGHTFOXRUSHIN WILLIAMS HEARD
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
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Mailing Address
CARLETTA MARIE NIGHTFOXRUSHIN WILLIAMS HEARD
722 E INDEPENDENCE ST STE I
SHAWNEE, OK 74804-4037
Phone number: 405-915-8051
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