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1942032735
MATTHEW ROBERT RIDDLE
TULSA, OK
NPI
1942032735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
MATTHEW ROBERT RIDDLE
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-406-3420
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Mailing Address
MATTHEW ROBERT RIDDLE
11680 S 153RD WEST AVE
SAPULPA, OK 74066-8564
Phone number: 918-671-9426
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