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1508087099
KIMBERLY W KANIATOBE
ADA, OK
NPI
1508087099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Miss KIMBERLY W KANIATOBE
1308 CRADDUCK RD
ADA, OK 74820
Phone number: 580-332-3699
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Mailing Address
Miss KIMBERLY W KANIATOBE
P.O. BOX 2311
ADA, OK 74820
Phone number: 580-920-5149
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