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1104969633
TARA JAVON SHAW
TULSA, OK
NPI
1104969633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Ms. TARA JAVON SHAW BS
650 S. PEORIA
TULSA, OK 74120-4426
Phone number: 918-587-9471
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Mailing Address
Ms. TARA JAVON SHAW BS
650 S PEORIA
TULSA, OK 74120-4429
Phone number: 918-587-9471
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