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1386218667
OPHETTA MALCOLM
OKLAHOMA CITY, OK
NPI
1386218667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
Mrs. OPHETTA MALCOLM
4500 N LINCOLN BLVD STE 105
OKLAHOMA CITY, OK 73105-3406
Phone number: 203-644-7920
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Mailing Address
Mrs. OPHETTA MALCOLM
1018 E 11TH ST
CUSHING, OK 74023-5204
Phone number: 203-644-7920
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