CARL DEWAYNE SHEPPARD

PONCA CITY, OK
NPI1366635781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
-- CARL DEWAYNE SHEPPARD
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
Mailing Address
-- CARL DEWAYNE SHEPPARD
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
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