AMANDA MARIE LAKE

PONCA CITY, OK
NPI1760985147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
AMANDA MARIE LAKE
1300 SUMMERS PL
PONCA CITY, OK 74604-4443
Phone number: 580-762-4156
Mailing Address
AMANDA MARIE LAKE
1300 SUMMERS PL
PONCA CITY, OK 74604-4443
Phone number: 580-762-4156
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