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1417738394
TIMOTHY WAYNE MOORE
TULSA, OK
NPI
1417738394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
TIMOTHY WAYNE MOORE
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-1232
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Mailing Address
TIMOTHY WAYNE MOORE
1223 S INDIAN AVE
TULSA, OK 74127-9122
Phone number:
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