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1154027365
VANAYSHIA BOO GORDON
TULSA, OK
NPI
1154027365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
VANAYSHIA BOO GORDON
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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Mailing Address
VANAYSHIA BOO GORDON
1808 S HEMLOCK AVE
BROKEN ARROW, OK 74012-9048
Phone number: 760-678-8815
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