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1750025243
ELIZABETH BALES
PONCA CITY, OK
NPI
1750025243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-04-21
Last Update Date
2022-04-25
Business Address
ELIZABETH BALES
407 W SOUTH AVE
PONCA CITY, OK 74601
Phone number: 580-749-5056
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Mailing Address
ELIZABETH BALES
407 W SOUTH AVE
PONCA CITY, OK 74601
Phone number: 580-749-5056
Copy
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