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MRS. BONNIE ELIZABETH ALLEN BS

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

Registrant NPI Number: 1750424289

Individual Registrant:
MRS. BONNIE ELIZABETH ALLEN BS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2322 W 7TH AVE  STILLWATER, OK 74074-1903 US
Tel: 405-372-7662  Fax: 405-372-3632

Contact information for business:
4436 NW 50TH ST  OKLAHOMA CITY, OK 73112-2212 US
Tel: 405-858-2733  Fax: 405-858-2810

Registration Information:
NPI: 1750424289
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COUNSELOR10OK01




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