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Individual

MRS. DEBORAH J SPAULDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 N 6TH ST, PONCA CITY, OK 74601-2827
(580) 762-7561
(580) 762-2576
Mailing address
705 N 3RD ST, PONCA CITY, OK 74601-3338
(580) 765-3915

Taxonomy

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

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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