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1689050585
SHAWNNESSY JIWA
CHOCTAW, OK
NPI
1689050585
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Other Name
SHAWNNESSY BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- SHAWNNESSY JIWA J.D.
15211 NE 36TH ST
CHOCTAW, OK 73020-9032
Phone number: 405-824-9116
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Mailing Address
-- SHAWNNESSY JIWA J.D.
15211 NE 36TH ST
CHOCTAW, OK 73020-9032
Phone number: 405-824-9116
Copy
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