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1235022088
EVAN WAYNE SHETLEY
TULSA, OK
NPI
1235022088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-05-30
Last Update Date
2025-05-30
Business Address
EVAN WAYNE SHETLEY
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-8257
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Mailing Address
EVAN WAYNE SHETLEY
2825 E 26TH ST
TULSA, OK 74114-4419
Phone number: 573-259-7805
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