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1497296917
SHONTA JACKSON
TULSA, OK
NPI
1497296917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK E082524391)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- SHONTA JACKSON
1217 E 33RD ST
TULSA, OK 74105-2017
Phone number: 918-779-4556
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Mailing Address
-- SHONTA JACKSON
1217 E 33RD ST
TULSA, OK 74105-2017
Phone number: 918-779-4556
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