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1104186410
REBECCA LONG
SHAWNEE, OK
NPI
1104186410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-21
Last Update Date
2012-05-21
Business Address
-- REBECCA LONG
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
-- REBECCA LONG
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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