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1891557856
MELISSA DANIELLE WISE
WESTVILLE, OK
NPI
1891557856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
MELISSA DANIELLE WISE
500 CHINCAPIN HWY 62 W
WESTVILLE, OK 74965
Phone number: 918-723-3181
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Mailing Address
MELISSA DANIELLE WISE
P.O. BOX 410
WESTVILLE, OK 74965
Phone number: 918-723-3181
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