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1578319729
TRAVICE L LEWALLEN
HEAVENER, OK
NPI
1578319729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
Miss TRAVICE L LEWALLEN
511 E 2ND ST
HEAVENER, OK 74937-3419
Phone number: 918-653-7718
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Mailing Address
Miss TRAVICE L LEWALLEN
PO BOX 846
HEAVENER, OK 74937-0846
Phone number: 918-653-7718
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