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1225434251
TERESA SHIVERS
SHAWNEE, OK
NPI
1225434251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
-- TERESA SHIVERS Masters Ed
1605 N HARRISON ST
SHAWNEE, OK 74804-4022
Phone number: 405-481-7187
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Mailing Address
-- TERESA SHIVERS Masters Ed
48595 WOLVERINE RD
PRAGUE, OK 74864-1250
Phone number: 405-590-8584
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