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1861890071
CARLA BETH PETTIT
DURANT, OK
NPI
1861890071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
-- CARLA BETH PETTIT
212 WEST EVERGREEN STREET
DURANT, OK 74701
Phone number: 580-931-9901
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Mailing Address
-- CARLA BETH PETTIT
156 MICHAEL AVENUE
CALERA, OK 74730
Phone number: 580-579-3336
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