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1275672529
SHANNON KYLE KANEASTER
OKLAHOMA CITY, OK
NPI
1275672529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: OK 22929)
Enumeration Date
2007-02-05
Last Update Date
2016-06-01
Business Address
SHANNON KYLE KANEASTER M.D.
5701 N PORTLAND AVE SUITE 305
OKLAHOMA CITY, OK 73112-1678
Phone number: 405-604-4475
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Mailing Address
SHANNON KYLE KANEASTER M.D.
3033 NW 63RD ST SUITE 152
OKLAHOMA CITY, OK 73116-3634
Phone number: 405-755-6651
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