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1457864837
CHARLES ALLEN HEGDALE
TULSA, OK
NPI
1457864837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
Mr. CHARLES ALLEN HEGDALE
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203
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Mailing Address
Mr. CHARLES ALLEN HEGDALE
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203
Copy
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