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1750547816
SHAWNA DANETTE MARTIN
WAGONER, OK
NPI
1750547816
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Former Name
SHAWNA DANETTE OLIVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-07-29
Last Update Date
2018-11-26
Business Address
SHAWNA DANETTE MARTIN BA
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-935-7668
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Mailing Address
SHAWNA DANETTE MARTIN BA
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-935-7668
Copy
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