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1730431149
CONSTANCE REBECCA ROE
MIDWEST CITY, OK
NPI
1730431149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- CONSTANCE REBECCA ROE
351 N AIR DEPOT BLVD SUITE S
MIDWEST CITY, OK 73110-1700
Phone number: 405-610-6540
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Mailing Address
-- CONSTANCE REBECCA ROE
2801 NE ORLIE DR
FOREST PARK, OK 73121-2402
Phone number: 405-488-8367
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