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1962250118
CARLIE MCKISSICK EDISON
TULSA, OK
NPI
1962250118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-05-10
Last Update Date
2024-07-02
Business Address
CARLIE MCKISSICK EDISON
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
CARLIE MCKISSICK EDISON
3924 W 105TH PL S
JENKS, OK 74037-1923
Phone number: 916-662-2794
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