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1164016192
BRIAN CHARLES CAGLE
TULSA, OK
NPI
1164016192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2021-02-20
Last Update Date
2021-02-20
Business Address
Mr. BRIAN CHARLES CAGLE
1239 S QUINCY AVE APT 16
TULSA, OK 74120-5277
Phone number: 918-764-0662
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Mailing Address
Mr. BRIAN CHARLES CAGLE
1239 S QUINCY AVE APT 16
TULSA, OK 74120-5277
Phone number: 918-764-0662
Copy
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