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1083233050
DANIEL JAMES SHAFFER
PONCA CITY, OK
NPI
1083233050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
DANIEL JAMES SHAFFER
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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Mailing Address
DANIEL JAMES SHAFFER
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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