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1780717330
WILLIAM CODY SHOEMAKER
PONCA CITY, OK
NPI
1780717330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-13
Last Update Date
2015-05-19
Business Address
Mr. WILLIAM CODY SHOEMAKER Counselor
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
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Mailing Address
Mr. WILLIAM CODY SHOEMAKER Counselor
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
Copy
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