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1205590775
LISA RENEE SHAVER
JAY, OK
NPI
1205590775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
LISA RENEE SHAVER
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 918-308-5513
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Mailing Address
LISA RENEE SHAVER
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 918-308-5513
Copy
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