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1407602337
KESHAWN WALLACE
OKLAHOMA CITY, OK
NPI
1407602337
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
KESHAWN WALLACE
5116 N PORTLAND AVE
OKLAHOMA CITY, OK 73112-2077
Phone number: 405-231-3150
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Mailing Address
KESHAWN WALLACE
1319 MELROSE DR
NORMAN, OK 73069-5370
Phone number: 918-986-5918
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