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1720629884
TIMOTHY DEWAYNE CORDELL
CLAREMORE, OK
NPI
1720629884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: OK 77266)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
TIMOTHY DEWAYNE CORDELL
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6495
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Mailing Address
TIMOTHY DEWAYNE CORDELL
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number:
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