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1225319643
SHANNON MARIE BURKHOLDER
LAWTON, OK
NPI
1225319643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-30
Last Update Date
2011-08-30
Business Address
Mrs. SHANNON MARIE BURKHOLDER
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
Mrs. SHANNON MARIE BURKHOLDER
1803 NW 32ND ST
LAWTON, OK 73505-3870
Phone number: 580-917-0216
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