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1265213193
JUSTIN EMBREY SUDDETH
HUGO, OK
NPI
1265213193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
JUSTIN EMBREY SUDDETH
1216 N 4200 RD
HUGO, OK 74743-8510
Phone number: 580-326-7568
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Mailing Address
JUSTIN EMBREY SUDDETH
1216 N 4200 RD
HUGO, OK 74743-8510
Phone number: 580-326-7568
Copy
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