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1629647292
MICHAEL PREMO
OKLAHOMA CITY, OK
NPI
1629647292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
MICHAEL PREMO
316 S BLACKWELDER AVE
OKLAHOMA CITY, OK 73108-1418
Phone number: 405-600-4693
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Mailing Address
MICHAEL PREMO
316 S BLACKWELDER AVE
OKLAHOMA CITY, OK 73108-1418
Phone number: 405-600-4693
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