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1013438340
QUATAVIA SHANEICE LUCAS
OKLAHOMA CITY, OK
NPI
1013438340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
QUATAVIA SHANEICE LUCAS
527 NW 23RD ST
OKLAHOMA CITY, OK 73103-1515
Phone number: 405-601-3030
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Mailing Address
QUATAVIA SHANEICE LUCAS
8807 N ROXBURY BLVD
OKLAHOMA CITY, OK 73132-3550
Phone number: 405-601-3030
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