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1578882288
SHAVONNA L MOORE
CHICKASHA, OK
NPI
1578882288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
Ms. SHAVONNA L MOORE
1302 S 1ST ST CHICKASHA
CHICKASHA, OK 73018-4813
Phone number: 405-222-2796
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Mailing Address
Ms. SHAVONNA L MOORE
1302 S 1ST ST CHICKASHA
CHICKASHA, OK 73018-4813
Phone number: 405-222-2796
Copy
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