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1396118808
MARZETTE WALLACE
OKLAHOMA CITY, OK
NPI
1396118808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2015-11-05
Last Update Date
2015-11-05
Business Address
-- MARZETTE WALLACE
1330 N CLASSEN BLVD SUITE 306
OKLAHOMA CITY, OK 73106-6835
Phone number: 405-694-4053
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Mailing Address
-- MARZETTE WALLACE
6103 N MERIDIAN AVE APT 114
OKLAHOMA CITY, OK 73112-1255
Phone number: 405-635-7512
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