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Individual

DENARIO MIKAL SHOATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2310 N HIGHWAY 66 UNIT A, CATOOSA, OK 74015-3070
(918) 282-7201
Mailing address
2310 N HIGHWAY 66 UNIT A, CATOOSA, OK 74015-3070
(918) 282-7201

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/25/2026
Last updated
06/25/2026
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