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1619179785
RANDALL WAYNE CODY
TULSA, OK
NPI
1619179785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: 9761)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Mr. RANDALL WAYNE CODY BA
7010 S YALE AVE STE 215
TULSA, OK 74136-5743
Phone number: 918-492-2554
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Mailing Address
Mr. RANDALL WAYNE CODY BA
455 S 80TH EAST AVE
TULSA, OK 74112-2154
Phone number: 918-836-0043
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