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1417244179
MELINDA SHAVER, PSY.D.
TAHLEQUAH, OK
NPI
1417244179
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Entity Type
Organization
Authorized Contact
MELINDA ANNE SHAVER
Psychologist
918-457-8100
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OK 103TC0700X)
Enumeration Date
2011-07-01
Last Update Date
2011-07-01
Business Address
MELINDA SHAVER, PSY.D.
315 N COLLEGE AVE
TAHLEQUAH, OK 74464-2703
Phone number: 918-457-8100
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Mailing Address
MELINDA SHAVER, PSY.D.
16460 N WOODLAND HILLS LN
HULBERT, OK 74441-2247
Phone number: 918-457-8100
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