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1871154807
KALEB BENJAMIN DORRIS
TULSA, OK
NPI
1871154807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
KALEB BENJAMIN DORRIS
6216 S LEWIS AVE STE 180
TULSA, OK 74136-1077
Phone number: 918-960-7852
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Mailing Address
KALEB BENJAMIN DORRIS
7777 S LEWIS AVE PMB 71-0412
TULSA, OK 74171
Phone number:
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