DERRA BISHOP

PONCA CITY, OK
NPI1548829054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-06-08
Last Update Date2019-07-08
Business Address
DERRA BISHOP
110 N 4TH ST
PONCA CITY, OK 74601
Phone number: 580-749-5056
Mailing Address
DERRA BISHOP
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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