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1902180748
TRACY D HOPPER
VINITA, OK
NPI
1902180748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK RC4904)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
TRACY D HOPPER
35164 S 4465 RD
VINITA, OK 74301-6782
Phone number: 918-782-1414
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Mailing Address
TRACY D HOPPER
35164 S 4465 RD
VINITA, OK 74301-6782
Phone number: 918-782-1414
Copy
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