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1942598347
RANDY LONGAN
MIAMI, OK
NPI
1942598347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- RANDY LONGAN
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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Mailing Address
-- RANDY LONGAN
2300 N ELM ST UNIT A
MIAMI, OK 74354-1524
Phone number: 918-542-2845
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