TRA'VANT'E KEAGON SHAW

EDMOND, OK
NPI1043048986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OK  1165994)
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
TRA'VANT'E KEAGON SHAW
401 S COLTRANE RD STE 260
EDMOND, OK 73034-6722
Phone number: 405-465-6607
Mailing Address
TRA'VANT'E KEAGON SHAW
301 W DAVIS AVE APT 15
WEATHERFORD, OK 73096-3016
Phone number: 580-279-7852
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