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1972120228
HALEY SONORA HOLDER
ADA, OK
NPI
1972120228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
HALEY SONORA HOLDER BS
301 W 4TH ST
ADA, OK 74820-3411
Phone number: 580-436-2690
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Mailing Address
HALEY SONORA HOLDER BS
1125 N MARKET AVE
SHAWNEE, OK 74801-5845
Phone number: 405-558-1060
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