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1700385978
MICHAEL HARRIS
WAGONER, OK
NPI
1700385978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
MICHAEL HARRIS
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-0242
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Mailing Address
MICHAEL HARRIS
109 S HARRILL AVE
WAGONER, OK 74467-5317
Phone number: 918-485-0242
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