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1124654959
TIARA SHACOLE CRAWFORD
TULSA, OK
NPI
1124654959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
Ms. TIARA SHACOLE CRAWFORD
1890 N HARTFORD AVE
TULSA, OK 74106-3550
Phone number: 918-829-3942
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Mailing Address
Ms. TIARA SHACOLE CRAWFORD
36 E CAMERON ST # 19
TULSA, OK 74103-1405
Phone number: 918-829-3942
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