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1730517186
JOHN CRANDALL
OWASSO, OK
NPI
1730517186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
-- JOHN CRANDALL B.A.
13602 E 85TH ST N APT 103
OWASSO, OK 74055-8612
Phone number: 417-315-7962
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Mailing Address
-- JOHN CRANDALL B.A.
13602 E 85TH ST N APT 103
OWASSO, OK 74055-8612
Phone number:
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