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1992022743
LAVADA STACY MYERS
BOLEY, OK
NPI
1992022743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-03
Last Update Date
2010-05-10
Business Address
-- LAVADA STACY MYERS BS
2 MILES EAST OF BOLEY ON HWY 62
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
-- LAVADA STACY MYERS BS
PO BOX 218
BOLEY, OK 74829-0218
Phone number: 918-667-3367
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