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1134570252
SHANNON NOLAN
TULSA, OK
NPI
1134570252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- SHANNON NOLAN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
-- SHANNON NOLAN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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