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1386353217
LISA FREDERICK
ADA, OK
NPI
1386353217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
LISA FREDERICK
2016 TEATA DR
ADA, OK 74820-3489
Phone number: 580-272-5580
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Mailing Address
LISA FREDERICK
1300 HOPPE BLVD STE 1
ADA, OK 74820-2319
Phone number:
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