SHANE ETHAN ORR

ATOKA, OK
NPI1134534696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-24
Last Update Date2015-08-10
Business Address
-- SHANE ETHAN ORR
706 S GREATHOUSE DR
ATOKA, OK 74525
Phone number: 580-889-3553
Mailing Address
-- SHANE ETHAN ORR
907 W OHIO AVE
COALGATE, OK 74538-1216
Phone number: 580-258-0056
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