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1497024780
LATREESE WYSHAWN MATHENGE
OKLAHOMA CITY, OK
NPI
1497024780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
103TR0400X Psychologist, Rehabilitation
Enumeration Date
2011-12-15
Last Update Date
2012-08-08
Business Address
Ms. LATREESE WYSHAWN MATHENGE
900 NW 10TH ST
OKLAHOMA CITY, OK 73106-7220
Phone number: 405-528-4673
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Mailing Address
Ms. LATREESE WYSHAWN MATHENGE
500 N MERDIAN SUITE 408
OKLAHOMA CITY, OK 73106-7220
Phone number: 405-528-4673
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