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1861988404
GABRIEL K BAINESAI
BROKEN ARROW, OK
NPI
1861988404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
GABRIEL K BAINESAI
734 N VILLAGE AVE APT D
BROKEN ARROW, OK 74012-2964
Phone number: 509-251-1160
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Mailing Address
GABRIEL K BAINESAI
734 N VILLAGE AVE APT D
BROKEN ARROW, OK 74012-2964
Phone number: 509-251-1160
Copy
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