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1265948004
LATRICIA EDNA SHAMBLES
NOWATA, OK
NPI
1265948004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
LATRICIA EDNA SHAMBLES
111 W DELAWARE AVE
NOWATA, OK 74048-2616
Phone number: 918-273-1841
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Mailing Address
LATRICIA EDNA SHAMBLES
111 W DELAWARE AVE
NOWATA, OK 74048-2616
Phone number:
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