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1437652674
CONSTANCE RENE SHAW
PONCA CITY, OK
NPI
1437652674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
CONSTANCE RENE SHAW
1300 SUMMERS PL
PONCA CITY, OK 74604-4443
Phone number: 580-761-2880
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Mailing Address
CONSTANCE RENE SHAW
1300 SUMMERS PL
PONCA CITY, OK 74604-4443
Phone number: 580-761-2880
Copy
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