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1548955198
CARTER REESE WISDOM
TAHLEQUAH, OK
NPI
1548955198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
CARTER REESE WISDOM
308 E DOWNING ST
TAHLEQUAH, OK 74464-3014
Phone number: 918-960-7852
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Mailing Address
CARTER REESE WISDOM
32090 E 747 RD
WAGONER, OK 74467-9446
Phone number: 918-348-1439
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