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1720384563
RONNA DEANNE BERTRAM-DAVIS
LAWTON, OK
NPI
1720384563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-01-26
Last Update Date
2011-01-26
Business Address
-- RONNA DEANNE BERTRAM-DAVIS
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
-- RONNA DEANNE BERTRAM-DAVIS
PO BOX 137 1403 N. 11TH. STREET
RANDLETT, OK 73562-0137
Phone number: 580-281-3273
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