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1306066469
SHANNA RENEE SHORES
STILLWATER, OK
NPI
1306066469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
-- SHANNA RENEE SHORES
800 E 6TH AVE STE B
STILLWATER, OK 74074-3732
Phone number: 405-372-1250
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Mailing Address
-- SHANNA RENEE SHORES
701 WICKLOW ST APT 312
STILLWATER, OK 74074-1944
Phone number: 479-647-0853
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