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1184805632
CHAD ALAN MIKELL
TULSA, OK
NPI
1184805632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
-- CHAD ALAN MIKELL
3105 E SKELLY DR
TULSA, OK 74105-6358
Phone number: 918-749-6095
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Mailing Address
-- CHAD ALAN MIKELL
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number:
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