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1215667035
TANNER CLAYTON
TULSA, OK
NPI
1215667035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
TANNER CLAYTON
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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Mailing Address
TANNER CLAYTON
517 E BUFFALO ST
KELLYVILLE, OK 74039
Phone number: 918-899-2261
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