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1255539466
MAVIE JEAN BUSBOOM
TULSA, OK
NPI
1255539466
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Former Name
MAVIE JEAN DAUGHERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Mrs. MAVIE JEAN BUSBOOM MA
3604 N CINCINNATI
TULSA, OK 74106-1536
Phone number: 918-425-4200
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Mailing Address
Mrs. MAVIE JEAN BUSBOOM MA
650 S PEORIA
TULSA, OK 74120-4429
Phone number: 918-587-9471
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