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1134703275
DEREK CHARLES BRIDGES
TULSA, OK
NPI
1134703275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
DEREK CHARLES BRIDGES
1239 S TRENTON AVE
TULSA, OK 74120-5420
Phone number: 918-924-2832
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Mailing Address
DEREK CHARLES BRIDGES
1620 E 12TH ST
TULSA, OK 74120-5407
Phone number: 918-924-2832
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