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1881967446
RUSSELL LANDON MANUEL
OKLAHOMA CITY, OK
NPI
1881967446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-13
Last Update Date
2012-09-11
Business Address
-- RUSSELL LANDON MANUEL B.A.
105 SE 45TH
OKLAHOMA CITY, OK 73129-3201
Phone number: 405-634-4400
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Mailing Address
-- RUSSELL LANDON MANUEL B.A.
105 SE 45TH
OKLAHOMA CITY, OK 73129
Phone number:
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