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1538919006
LILA MARIE ROUGHFACE
PONCA CITY, OK
NPI
1538919006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
LILA MARIE ROUGHFACE
200 WHITE EAGLE DR
PONCA CITY, OK 74601-8315
Phone number: 580-749-7322
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Mailing Address
LILA MARIE ROUGHFACE
200 WHITE EAGLE DR
PONCA CITY, OK 74601-8315
Phone number: 580-749-0093
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