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1366804064
MELISSA WALLACE
MIAMI, OK
NPI
1366804064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-03-22
Last Update Date
2016-04-25
Business Address
-- MELISSA WALLACE
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-500-1511
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Mailing Address
-- MELISSA WALLACE
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-500-1511
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