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1164968897
SANDRA SHOMO
TAHLEQUAH, OK
NPI
1164968897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 60291)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- SANDRA SHOMO LPN
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-453-5000
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Mailing Address
-- SANDRA SHOMO LPN
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-453-5000
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