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1447915459
VINCENT J TENNYSON
KINGSTON, OK
NPI
1447915459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
VINCENT J TENNYSON
413 HIGHWAY 70 N
KINGSTON, OK 73439-8235
Phone number: 580-564-7308
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Mailing Address
VINCENT J TENNYSON
10647 OLD INDIAN TRAIL DR
KINGSTON, OK 73439-7419
Phone number: 817-891-2346
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