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Individual

MRS. DANDI DELEAH SIPES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 14TH APT 124, CORDELL, OK 73632-1426
(580) 917-6079
Mailing address
400 E 14TH APT 124, CORDELL, OK 73632-1426
(580) 917-6079

Taxonomy

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

Other

Enumeration date
08/25/2020
Last updated
08/25/2020
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