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1518395128
MICHAEL KEVIN WOMACK
POTEAU, OK
NPI
1518395128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
MICHAEL KEVIN WOMACK
206 BURKLE AVE
POTEAU, OK 74953-2208
Phone number: 870-810-0003
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Mailing Address
MICHAEL KEVIN WOMACK
PO BOX 1385
POTEAU, OK 74953-1385
Phone number: 870-810-0003
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