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1235910563
TOMMIE FORGOTSON
MOORE, OK
NPI
1235910563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 8985)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
TOMMIE FORGOTSON
624 NW 5TH ST
MOORE, OK 73160-3924
Phone number: 405-799-3379
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Mailing Address
TOMMIE FORGOTSON
624 NW 5TH ST
MOORE, OK 73160-3924
Phone number: 405-799-3379
Copy
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