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1346952744
KATRINA WICKER
PONCA CITY, OK
NPI
1346952744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
KATRINA WICKER
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 918-273-1841
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Mailing Address
KATRINA WICKER
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number:
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