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1104344019
SHELBY MARY-MAXINE SCHUTTE
PONCA CITY, OK
NPI
1104344019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-31
Last Update Date
2022-07-21
Business Address
SHELBY MARY-MAXINE SCHUTTE
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
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Mailing Address
SHELBY MARY-MAXINE SCHUTTE
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
Copy
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