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1548517386
SAM SHUBERT
LAWTON, OK
NPI
1548517386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-08-10
Last Update Date
2012-08-10
Business Address
-- SAM SHUBERT
6809 NW CRESTWOOD DR
LAWTON, OK 73505-1277
Phone number: 580-704-3012
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Mailing Address
-- SAM SHUBERT
6809 NW CRESTWOOD DR
LAWTON, OK 73505-1277
Phone number: 580-704-3012
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