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1508518747
DERAISHA D SMITH HARRIS
TULSA, OK
NPI
1508518747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK 171M00000X)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
DERAISHA D SMITH HARRIS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
DERAISHA D SMITH HARRIS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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