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MISTY BILBY

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1962870048

Individual Registrant:
 MISTY  BILBY 
Gender: F
Sole Proprietor

Location and contact information for practice:
17225 S 89TH WEST AVE  MOUNDS, OK 74047-4127 US
Tel: 918-230-0828  Fax: --

Contact information for business:
17225 S 89TH WEST AVE  MOUNDS, OK 74047-4127 US
Tel: 918-230-0828  Fax: --

Registration Information:
NPI: 1962870048
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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