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1457988008
PATRICIA A WIESE
JAY, OK
NPI
1457988008
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Other Name
PATTY ANN WIESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-24
Last Update Date
2020-07-08
Business Address
PATRICIA A WIESE
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 918-308-5513
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Mailing Address
PATRICIA A WIESE
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 918-308-5513
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