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1447990296
MARCUS CLEO BUCHANAN
TAHLEQUAH, OK
NPI
1447990296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
Mr. MARCUS CLEO BUCHANAN
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-456-0641
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Mailing Address
Mr. MARCUS CLEO BUCHANAN
PO BOX 864
CHOUTEAU, OK 74337-0864
Phone number: 918-864-4665
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