SHANNON BALLOU

LAWTON, OK
NPI1255708012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  106662)
Enumeration Date2015-08-27
Last Update Date2015-08-27
Business Address
-- SHANNON BALLOU APRN, FNP-C
3811 W GORE BLVD STE 6
LAWTON, OK 73505-6328
Phone number: 580-250-6525
Mailing Address
-- SHANNON BALLOU APRN, FNP-C
3811 W GORE BLVD STE 6
LAWTON, OK 73505-6328
Phone number: 580-250-6525
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