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1134299563
SHANNON FAYE ROBERTSON
BOLEY, OK
NPI
1134299563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-09
Last Update Date
2007-07-09
Business Address
-- SHANNON FAYE ROBERTSON BSW, BHRS
RR 1, BOX 35D
BOLEY, OK 74829
Phone number: 918-667-3367
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Mailing Address
-- SHANNON FAYE ROBERTSON BSW, BHRS
PO BOX 899
SEMINOLE, OK 74818-0899
Phone number: 405-382-0641
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