DANIEL ANTWAIN SHAW

CLEVELAND, OK
NPI1063836609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-02-18
Last Update Date2022-03-09
Business Address
DANIEL ANTWAIN SHAW MAE
907 W CADDO ST
CLEVELAND, OK 74020-4201
Phone number: 918-308-5511
Mailing Address
DANIEL ANTWAIN SHAW MAE
PAWNEE COUNTY 907 W. CADDO ST.
CLEVELAND, OK 74020-4201
Phone number: 918-308-5511