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1114743325
FAWN MARIE BOOMERSHINE
TULSA, OK
NPI
1114743325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
FAWN MARIE BOOMERSHINE
5310 E 31ST ST
TULSA, OK 74135-5012
Phone number: 918-744-4800
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Mailing Address
FAWN MARIE BOOMERSHINE
5310 E 31ST ST
TULSA, OK 74135-5012
Phone number: 189-744-4800
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