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1003466103
DESHAUN LAMAR MOOTRY
TULSA, OK
NPI
1003466103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-19
Last Update Date
2020-11-10
Business Address
DESHAUN LAMAR MOOTRY
1 W 36TH ST N
TULSA, OK 74106-1700
Phone number: 918-425-4200
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Mailing Address
DESHAUN LAMAR MOOTRY
1 W 36TH ST N
TULSA, OK 74106-1700
Phone number:
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