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Individual

SHATANA LAQUITA ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BACHALOR

Contact information

Practice address
1722 E SPRINGER AVE, GUTHRIE, OK 73044-5707
(405) 830-3342
Mailing address
1722 E SPRINGER AVE, GUTHRIE, OK 73044-5707
(405) 830-3342

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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