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1538831284
LISA MARIE HEINEY
VINITA, OK
NPI
1538831284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-10-01
Last Update Date
2022-04-28
Business Address
LISA MARIE HEINEY
405 E EXCELSIOR AVE
VINITA, OK 74301-4226
Phone number: 918-256-6476
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Mailing Address
LISA MARIE HEINEY
460 N 4TH ST
VINITA, OK 74301-2620
Phone number: 918-323-5923
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