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Individual

ALICIA TENAE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9500 NE 150TH ST, JONES, OK 73049-8601
(405) 396-2942
Mailing address
713 NW 113TH ST, OKLAHOMA CITY, OK 73114-6812
(405) 923-4587

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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