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1952979965
DAVID GRANT TATUM
EDMOND, OK
NPI
1952979965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
DAVID GRANT TATUM
2316 NW 191ST CT
EDMOND, OK 73012-2640
Phone number: 405-308-2929
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Mailing Address
DAVID GRANT TATUM
2316 NW 191ST CT
EDMOND, OK 73012-2640
Phone number: 405-308-2929
Copy
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