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1790439768
SHANE BRANDENBURG LEU
TULSA, OK
NPI
1790439768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
SHANE BRANDENBURG LEU BHCM1
2727 E ADMIRAL PL
TULSA, OK 74110-5436
Phone number: 918-835-3017
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Mailing Address
SHANE BRANDENBURG LEU BHCM1
2727 E ADMIRAL PL
TULSA, OK 74110-5436
Phone number: 918-835-3017
Copy
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