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1033753983
WALTER SAM ALLEN
TULSA, OK
NPI
1033753983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
WALTER SAM ALLEN
3245 S VICTOR AVE
TULSA, OK 74105-2229
Phone number: 918-406-4247
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Mailing Address
WALTER SAM ALLEN
3245 S VICTOR AVE
TULSA, OK 74105-2229
Phone number: 918-406-4247
Copy
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