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1154998904
SHANAN ELAINE SHIPMAN
POTEAU, OK
NPI
1154998904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
SHANAN ELAINE SHIPMAN
502 DEWEY AVE
POTEAU, OK 74953-4216
Phone number: 918-647-2372
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Mailing Address
SHANAN ELAINE SHIPMAN
42156 TIMBER RIDGE RD
HOWE, OK 74940-3614
Phone number: 918-647-6312
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