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1295393205
JAIVIONTE CAMPBELL
OKLAHOMA CITY, OK
NPI
1295393205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
JAIVIONTE CAMPBELL
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 618-746-1041
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Mailing Address
JAIVIONTE CAMPBELL
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 618-746-1041
Copy
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