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1639939507
SHANNAN DEMITRIA RENEA HAYES
TULSA, OK
NPI
1639939507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
SHANNAN DEMITRIA RENEA HAYES
4870 E 68TH ST UNIT 234
TULSA, OK 74136-4951
Phone number: 330-217-7412
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Mailing Address
SHANNAN DEMITRIA RENEA HAYES
4870 E 68TH ST UNIT 234
TULSA, OK 74136-4951
Phone number: 330-217-7412
Copy
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