MIRANDA LYNN WADDELL

PONCA CITY, OK
NPI1770094047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
MIRANDA LYNN WADDELL
1412 MONUMENT RD
PONCA CITY, OK 74604-3620
Phone number: 405-334-8353
Mailing Address
MIRANDA LYNN WADDELL
1412 MONUMENT RD
PONCA CITY, OK 74604-3620
Phone number: 405-334-8353