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1568109486
MIRACLE CHATMAN
MOORE, OK
NPI
1568109486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK 318164)
Enumeration Date
2022-05-13
Last Update Date
2024-10-29
Business Address
MIRACLE CHATMAN
624 NW 5TH ST
MOORE, OK 73160-3924
Phone number: 405-799-3379
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Mailing Address
MIRACLE CHATMAN
14300 N PENNSYLVANIA AVE APT 143
OKLAHOMA CITY, OK 73134-6058
Phone number: 580-917-6543
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