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1487166351
SHANE LEE CASEY
BROKEN ARROW, OK
NPI
1487166351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OK 4745)
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
Dr. SHANE LEE CASEY DPT
20208 E 37TH ST S
BROKEN ARROW, OK 74014-1755
Phone number: 405-808-8128
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Mailing Address
Dr. SHANE LEE CASEY DPT
20208 E 37TH ST S
BROKEN ARROW, OK 74014-1755
Phone number: 405-808-8128
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