SHANE OWENS

TAHLEQUAH, OK
NPI1619602331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
SHANE OWENS
410 JAMESTOWN ST
TAHLEQUAH, OK 74464-6632
Phone number: 918-708-5066
Mailing Address
SHANE OWENS
410 JAMESTOWN ST
TAHLEQUAH, OK 74464-6632
Phone number: 918-708-5066
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