SHANNON REAVIS

CLAREMORE, OK
NPI1073153029
Former NameSHANNON COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  F04190051)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
Mrs. SHANNON REAVIS ARNP FNP-C
21625 E 460 RD
CLAREMORE, OK 74019-2876
Phone number: 918-606-5702
Mailing Address
Mrs. SHANNON REAVIS ARNP FNP-C
35904 S HIGHWAY 82
VINITA, OK 74301-6743
Phone number: 918-782-1414
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