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1992474969
GRACE MUKOMBE
NORMAN, OK
NPI
1992474969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2021-09-12
Last Update Date
2021-09-12
Business Address
GRACE MUKOMBE
3400 DESKIN DR # 8295
NORMAN, OK 73069-8295
Phone number: 405-701-8530
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Mailing Address
GRACE MUKOMBE
820 N EMERSON ST
JENKS, OK 74037-3828
Phone number: 918-510-2958
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