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1952022774
KORI BETH WATTERS
PONCA CITY, OK
NPI
1952022774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK g083831193)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
KORI BETH WATTERS
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 918-273-1841
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Mailing Address
KORI BETH WATTERS
407 W SOUTH AVE
PONCA CITY, OK 74601
Phone number: 918-273-1841
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