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1962121798
TRACY DALENE CROCKETT
VINITA, OK
NPI
1962121798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
TRACY DALENE CROCKETT
405 E EXCELSIOR AVE
VINITA, OK 74301-4226
Phone number: 844-458-2100
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Mailing Address
TRACY DALENE CROCKETT
405 E EXCELSIOR AVE
VINITA, OK 74301-4226
Phone number: 844-458-2100
Copy
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