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1417788126
ROBERT WADE MOORE
TULSA, OK
NPI
1417788126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-08-13
Last Update Date
2024-09-10
Business Address
ROBERT WADE MOORE
4915 W 84TH ST
TULSA, OK 74131-4427
Phone number: 918-407-8030
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Mailing Address
ROBERT WADE MOORE
4915 W 84TH ST
TULSA, OK 74131-4427
Phone number: 918-407-8030
Copy
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