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1053753855
LURA WHITESHIRT
TAHLEQUAH, OK
NPI
1053753855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
-- LURA WHITESHIRT
1277 SKILL CENTER CIR
TAHLEQUAH, OK 74464-6495
Phone number: 918-207-4977
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Mailing Address
-- LURA WHITESHIRT
1277 SKILL CENTER CIR
TAHLEQUAH, OK 74464-6495
Phone number:
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