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1083982276
WANDA LEANNE SHOALS
OKLAHOMA CITY, OK
NPI
1083982276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
Ms. WANDA LEANNE SHOALS BHRS
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
Ms. WANDA LEANNE SHOALS BHRS
838 NE 70TH ST
OKLAHOMA CITY, OK 73105-6010
Phone number: 405-843-5951
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