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1558856195
SHASTA TOMEKA DAVIS
OKLAHOMA CITY, OK
NPI
1558856195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-26
Last Update Date
2019-11-14
Business Address
SHASTA TOMEKA DAVIS BHCM
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5104
Phone number: 405-424-7711
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Mailing Address
SHASTA TOMEKA DAVIS BHCM
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5108
Phone number: 405-424-7711
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