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1023566973
TERRACE ROSE
OKLAHOMA CITY, OK
NPI
1023566973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
Mr. TERRACE ROSE
401 SE 24TH ST
OKLAHOMA CITY, OK 73129-1817
Phone number: 405-753-7159
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Mailing Address
Mr. TERRACE ROSE
401 SE 24TH ST
OKLAHOMA CITY, OK 73129-1817
Phone number: 405-753-7159
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