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1396099271
BRIAN DAVID MOORE
BOLEY, OK
NPI
1396099271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
-- BRIAN DAVID MOORE BA, BHRS
RT 1, BOX 35D
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
-- BRIAN DAVID MOORE BA, BHRS
PO BOX 218
BOLEY, OK 74829-0218
Phone number: 918-667-3367
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