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1508696279
JACOB MICHAEL MOORE
OKLAHOMA CITY, OK
NPI
1508696279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
JACOB MICHAEL MOORE
6100 S WALKER AVE
OKLAHOMA CITY, OK 73139-7026
Phone number: 405-634-4400
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Mailing Address
JACOB MICHAEL MOORE
1724 SW 33RD ST
MOORE, OK 73160-2925
Phone number:
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