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1568974228
WATIE WELLS
SHAWNEE, OK
NPI
1568974228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
WATIE WELLS
318 N BROADWAY AVE
SHAWNEE, OK 74801-6920
Phone number: 405-702-3405
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Mailing Address
WATIE WELLS
318 N BROADWAY AVE
SHAWNEE, OK 74801-6920
Phone number: 405-702-3405
Copy
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