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1912646191
LANDIN GREEN
TULSA, OK
NPI
1912646191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-06-03
Last Update Date
2023-10-03
Business Address
LANDIN GREEN
4650 E ADMIRAL PL
TULSA, OK 74115-7442
Phone number: 918-508-7500
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Mailing Address
LANDIN GREEN
2214 W GALVESTON ST
BROKEN ARROW, OK 74012-3521
Phone number: 918-729-9269
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