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1962779256
BARRY LEE GILLIAM
OKLAHOMA CITY, OK
NPI
1962779256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
-- BARRY LEE GILLIAM
4100 NEWPORT AVE
OKLAHOMA CITY, OK 73112-6334
Phone number: 405-943-2273
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Mailing Address
-- BARRY LEE GILLIAM
4100 NEWPORT AVE
OKLAHOMA CITY, OK 73112
Phone number: 405-943-2273
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