MICHAEL DWAYNE STANLEY

SHAWNEE, OK
NPI1760709786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-04-29
Last Update Date2010-09-30
Business Address
Mr. MICHAEL DWAYNE STANLEY
634 W DEWEY ST
SHAWNEE, OK 74801-5706
Phone number: 405-275-2179
Mailing Address
Mr. MICHAEL DWAYNE STANLEY
634 W DEWEY ST
SHAWNEE, OK 74801-5706
Phone number: 405-275-2179
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