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1902254204
GLENN ETHAN PATRICK REX
TULSA, OK
NPI
1902254204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- GLENN ETHAN PATRICK REX
102 N DENVER AVE
TULSA, OK 74103-1806
Phone number: 918-582-1200
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Mailing Address
-- GLENN ETHAN PATRICK REX
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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