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1174261366
STACI N SHANNON
TULSA, OK
NPI
1174261366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2022-05-26
Last Update Date
2022-08-12
Business Address
Ms. STACI N SHANNON BS
3712 E 11TH ST
TULSA, OK 74112-3952
Phone number: 918-834-4194
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Mailing Address
Ms. STACI N SHANNON BS
3712 E 11TH ST
TULSA, OK 74112-3952
Phone number: 918-834-4194
Copy
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