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1518410695
KATY LEIGH WALLACE
TAHLEQUAH, OK
NPI
1518410695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-07-26
Last Update Date
2016-08-01
Business Address
-- KATY LEIGH WALLACE
113 W SHAWNEE ST
TAHLEQUAH, OK 74464-3623
Phone number: 918-825-1405
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Mailing Address
-- KATY LEIGH WALLACE
113 W SHAWNEE ST
TAHLEQUAH, OK 74464-3623
Phone number: 918-825-1405
Copy
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