Individual
DAWNYALE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9604 NE 4TH ST, MIDWEST CITY, OK 73130-2514
(405) 508-8947
Mailing address
9604 NE 4TH ST, MIDWEST CITY, OK 73130-2514
(405) 508-8947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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