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1396217725
LA TISA COLBERT
LAWTON, OK
NPI
1396217725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-25
Last Update Date
2018-12-25
Business Address
LA TISA COLBERT
713 SW C AVE
LAWTON, OK 73501-4311
Phone number: 405-606-1837
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Mailing Address
LA TISA COLBERT
713 SW C AVE
LAWTON, OK 73501-4311
Phone number:
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