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1588180707
JAMIE LONGAN
HULBERT, OK
NPI
1588180707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
JAMIE LONGAN
7966 W 790 RD
HULBERT, OK 74441-2880
Phone number: 918-478-3092
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Mailing Address
JAMIE LONGAN
7966 W 790 RD
HULBERT, OK 74441-2880
Phone number:
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