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1932307865
LEAH M WIRT
PONCA CITY, OK
NPI
1932307865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- LEAH M WIRT
201 E CHESTNUT AVE
PONCA CITY, OK 74601-4311
Phone number: 580-763-6017
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Mailing Address
-- LEAH M WIRT
3107 E. SECOND AVE.
STILLWATER, OK 74074
Phone number: 405-269-9182
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