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1083131734
BRENT CORNISH
MIDWEST CITY, OK
NPI
1083131734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-24
Last Update Date
2022-07-21
Business Address
Mr. BRENT CORNISH
613 S MIDWEST BLVD
MIDWEST CITY, OK 73110-4727
Phone number: 405-503-0679
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Mailing Address
Mr. BRENT CORNISH
613 S MIDWEST BLVD
MIDWEST CITY, OK 73110-4727
Phone number: 405-503-0679
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