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1366942740
SHELBY L DOUGLAS
JOPLIN, MO
NPI
1366942740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
SHELBY L DOUGLAS
2808 S PICHER AVE
JOPLIN, MO 64804-1645
Phone number: 417-347-7850
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Mailing Address
SHELBY L DOUGLAS
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7600
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