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1881375384
MICAH DIEGO SANCHEZ
SHAWNEE, OK
NPI
1881375384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
MICAH DIEGO SANCHEZ
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
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Mailing Address
MICAH DIEGO SANCHEZ
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
Copy
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