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1437479011
TIMOTHY NICKALAS TRAYLOR
OKLAHOMA CITY, OK
NPI
1437479011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
Mr. TIMOTHY NICKALAS TRAYLOR
6424 MASONS DR
OKLAHOMA CITY, OK 73142-4463
Phone number: 405-514-3232
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Mailing Address
Mr. TIMOTHY NICKALAS TRAYLOR
PO BOX 721132
OKLAHOMA CITY, OK 73172-1132
Phone number: 405-514-3232
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