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1285241539
SHANNON RENAE LUCAS
TULSA, OK
NPI
1285241539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
SHANNON RENAE LUCAS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-724-8006
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Mailing Address
SHANNON RENAE LUCAS
3227 N 2ND PL
BROKEN ARROW, OK 74012-8263
Phone number: 918-724-8006
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