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1700492774
SHANNON LEE DIGIOVANNI
EDMOND, OK
NPI
1700492774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
SHANNON LEE DIGIOVANNI
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-607-4041
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Mailing Address
SHANNON LEE DIGIOVANNI
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-607-4041
Copy
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