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1255708012
SHANNON BALLOU
LAWTON, OK
NPI
1255708012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 106662)
Enumeration Date
2015-08-27
Last Update Date
2015-08-27
Business 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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Mailing Address
-- SHANNON BALLOU APRN, FNP-C
3811 W GORE BLVD STE 6
LAWTON, OK 73505-6328
Phone number: 580-250-6525
Copy
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