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1114394251
SHAMIKA MACK
OKLAHOMA CITY, OK
NPI
1114394251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 85362)
Enumeration Date
2015-08-24
Last Update Date
2017-08-03
Business Address
-- SHAMIKA MACK CNP
3330 NW 56TH ST SUITE 300
OKLAHOMA CITY, OK 73112-4479
Phone number: 405-945-5275
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Mailing Address
-- SHAMIKA MACK CNP
5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 405-945-5275
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