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1083340418
ADAM SHANE NUSBAUM
MOORE, OK
NPI
1083340418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
ADAM SHANE NUSBAUM
1400 SE 4TH ST STE A
MOORE, OK 73160-7328
Phone number: 405-837-1033
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Mailing Address
ADAM SHANE NUSBAUM
1400 SE 4TH ST STE A
MOORE, OK 73160-7328
Phone number: 405-837-1033
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