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1467812792
ANDRE UPTGROW
TULSA, OK
NPI
1467812792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
-- ANDRE UPTGROW
11807 E 21ST CT
TULSA, OK 74129-5641
Phone number: 904-718-2482
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Mailing Address
-- ANDRE UPTGROW
11807 E 21ST CT
TULSA, OK 74129-5641
Phone number:
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