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1831607886
RYAN C SHADY
LAWTON, OK
NPI
1831607886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-11
Last Update Date
2023-11-30
Business Address
RYAN C SHADY
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
RYAN C SHADY
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
Copy
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