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1720525256
SHANA FULKERSON
OKLAHOMA CITY, OK
NPI
1720525256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- SHANA FULKERSON
4130 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5209
Phone number: 405-424-7711
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Mailing Address
-- SHANA FULKERSON
4130 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5209
Phone number: 405-424-7711
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