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1497362560
LACIE ANN HARRIS
WAGONER, OK
NPI
1497362560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
LACIE ANN HARRIS
408 N STATE ST
WAGONER, OK 74467-3822
Phone number: 918-441-7905
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Mailing Address
LACIE ANN HARRIS
408 N STATE ST
WAGONER, OK 74467-3822
Phone number:
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