SHADAVA DEANN WALLACE

HUGO, OK
NPI1215656517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
SHADAVA DEANN WALLACE
136 MEADOWVIEW ST
HUGO, OK 74743-5402
Phone number: 580-424-4239
Mailing Address
SHADAVA DEANN WALLACE
136 MEADOWVIEW ST
HUGO, OK 74743-5402
Phone number: 580-424-4239
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