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1134774052
SHALEEN FAY COLTON
PONCA CITY, OK
NPI
1134774052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-08-07
Last Update Date
2019-09-04
Business Address
SHALEEN FAY COLTON
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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Mailing Address
SHALEEN FAY COLTON
419 W 11TH ST
NEWKIRK, OK 74647-5512
Phone number: 620-660-5854
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