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1063111359
SHELBY DELAINE GODDARD
MCALESTER, OK
NPI
1063111359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
SHELBY DELAINE GODDARD
727 E WYANDOTTE AVE
MCALESTER, OK 74501-5427
Phone number: 918-420-5343
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Mailing Address
SHELBY DELAINE GODDARD
727 E WYANDOTTE AVE
MCALESTER, OK 74501-5427
Phone number: 918-420-5343
Copy
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