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1902927692
SUSAN VASSAR
PONCA CITY, OK
NPI
1902927692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: None)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- SUSAN VASSAR
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-765-7261
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Mailing Address
-- SUSAN VASSAR
728 N 2ND ST
PONCA CITY, OK 74601-3331
Phone number: 580-761-4003
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