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1134552730
JOSHUA WISDOM DAVIS
SPENCER, OK
NPI
1134552730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- JOSHUA WISDOM DAVIS
8901 MURIEL WAY
SPENCER, OK 73084-3531
Phone number: 405-361-1824
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Mailing Address
-- JOSHUA WISDOM DAVIS
8901 MURIEL WAY
SPENCER, OK 73084-3531
Phone number: 405-361-1824
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