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1679262950
JOSEPH WAYNE MOORE
TULSA, OK
NPI
1679262950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251B00000X Case Management
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
JOSEPH WAYNE MOORE
6216 S LEWIS AVE STE 102
TULSA, OK 74136-1075
Phone number: 918-416-4483
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Mailing Address
JOSEPH WAYNE MOORE
1431 S DARLINGTON AVE
TULSA, OK 74112-6313
Phone number: 918-948-2381
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