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1194094037
JIMMY RAY PERKINS
MUSKOGEE, OK
NPI
1194094037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK 23714)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
-- JIMMY RAY PERKINS
3300 CHANDLER RD STE 109
MUSKOGEE, OK 74403-4909
Phone number: 918-686-6876
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Mailing Address
-- JIMMY RAY PERKINS
2505 MONTA PL
MUSKOGEE, OK 74403-6032
Phone number: 918-231-7425
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