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1558191668
ALISSA MARIE BANNERMAN
OKLAHOMA CITY, OK
NPI
1558191668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
ALISSA MARIE BANNERMAN
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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Mailing Address
ALISSA MARIE BANNERMAN
8530 SW 74TH ST UNIT 6B8530SW
OKLAHOMA CITY, OK 73169-1209
Phone number: 405-496-9535
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