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1558981217
MICHAEL SHANE ALLEN
MIAMI, OK
NPI
1558981217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-23
Last Update Date
2020-07-08
Business Address
MR. MICHAEL SHANE ALLEN
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-282-0545
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Mailing Address
MR. MICHAEL SHANE ALLEN
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-282-0545
Copy
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