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1063788982
TERRY VANDERGRIFT
OKLAHOMA CITY, OK
NPI
1063788982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-25
Last Update Date
2013-05-03
Business Address
-- TERRY VANDERGRIFT
5245 S I 35 SERVICE RD
OKLAHOMA CITY, OK 73129-7023
Phone number: 405-482-9726
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Mailing Address
-- TERRY VANDERGRIFT
7211 MELROSE LN APT 41
OKLAHOMA CITY, OK 73127-5116
Phone number: 405-605-2488
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