ADAM SHANE NUSBAUM

MOORE, OK
NPI1083340418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
ADAM SHANE NUSBAUM
1400 SE 4TH ST STE A
MOORE, OK 73160-7328
Phone number: 405-837-1033
Mailing Address
ADAM SHANE NUSBAUM
1400 SE 4TH ST STE A
MOORE, OK 73160-7328
Phone number: 405-837-1033
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