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1922884774
CHANTILLEE A CLARY
SHAWNEE, OK
NPI
1922884774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
CHANTILLEE A CLARY
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
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Mailing Address
CHANTILLEE A CLARY
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
Copy
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