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Individual

MS. ELIZABETH WALKER BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4720 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3210
(405) 632-1900
(405) 632-1976
Mailing address
3824 NW 51ST PL, OKLAHOMA CITY, OK 73112-2052
(405) 326-6992
(405) 632-1976

Taxonomy

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

Other

Enumeration date
03/16/2007
Last updated
12/29/2010
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