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1528841871
LEAH R SHEPARD
BROKEN ARROW, OK
NPI
1528841871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-08-18
Last Update Date
2023-08-27
Business Address
LEAH R SHEPARD
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-355-0995
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Mailing Address
LEAH R SHEPARD
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number:
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