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1760078653
AUTUMN ANTHONY
MINCO, OK
NPI
1760078653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-15
Last Update Date
2024-06-25
Business Address
AUTUMN ANTHONY
408 NW PONTOTOC ST
MINCO, OK 73059-2070
Phone number: 405-414-0179
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Mailing Address
AUTUMN ANTHONY
408 NW PONTOTOC ST
MINCO, OK 73059-2070
Phone number: 405-414-0179
Copy