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1154691244
SHANNON DENISE IJAMS
TULSA, OK
NPI
1154691244
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Former Name
SHANNON DENISE ABERLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 906)
Enumeration Date
2012-01-05
Last Update Date
2012-01-05
Business Address
-- SHANNON DENISE IJAMS PA-C
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171
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Mailing Address
-- SHANNON DENISE IJAMS PA-C
PO BOX 268838
OKLAHOMA CITY, OK 73126-8838
Phone number: 918-619-4600
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