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1376283564
SHANE JAMES CARTER
TULSA, OK
NPI
1376283564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
SHANE JAMES CARTER
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
SHANE JAMES CARTER
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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