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1396251179
MICKEETA LASHOONE ROSE
OKLAHOMA CITY, OK
NPI
1396251179
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Former Name
MICKEETA LASHOONE HOLLIMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-12-16
Last Update Date
2017-12-16
Business Address
MICKEETA LASHOONE ROSE
717 NE 79TH PL
OKLAHOMA CITY, OK 73114-4106
Phone number: 405-505-3598
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Mailing Address
MICKEETA LASHOONE ROSE
1200 NE 13TH ST
OKLAHOMA CITY, OK 73117-1022
Phone number: 405-248-9368
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