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1700303575
MITCHELL GENE DESHAZER
SHAWNEE, OK
NPI
1700303575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
Mr. MITCHELL GENE DESHAZER
624 W INDEPENDENCE ST STE 113-115
SHAWNEE, OK 74804-4306
Phone number: 405-585-6413
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Mailing Address
Mr. MITCHELL GENE DESHAZER
624 W INDEPENDENCE ST STE 113-115
SHAWNEE, OK 74804-4306
Phone number: 405-585-6413
Copy
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