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1750786216
LARRY SHAVERS
OKLAHOMA CITY, OK
NPI
1750786216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
Mr. LARRY SHAVERS
1200 NE 13TH ST
OKLAHOMA CITY, OK 73117-1022
Phone number: 405-522-8145
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Mailing Address
Mr. LARRY SHAVERS
1200 NE 13TH ST
OKLAHOMA CITY, OK 73117-1022
Phone number: 405-522-8145
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