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1124898507
DERIAN MASTIN
TULSA, OK
NPI
1124898507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-05
Last Update Date
2024-01-05
Business Address
DERIAN MASTIN
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
DERIAN MASTIN
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number:
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