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1700516911
JEFFREY SHELTON
PONCA CITY, OK
NPI
1700516911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
JEFFREY SHELTON
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
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Mailing Address
JEFFREY SHELTON
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
Copy
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