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1699111815
CHARLIE RENEE GORDON
ANTLERS, OK
NPI
1699111815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-14
Last Update Date
2013-05-14
Business Address
-- CHARLIE RENEE GORDON BHRS
112 N HIGH ST
ANTLERS, OK 74523-2250
Phone number: 580-298-3001
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Mailing Address
-- CHARLIE RENEE GORDON BHRS
814 N HIGHLAND ST
SEMINOLE, OK 74868-3270
Phone number: 405-303-2735
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