SHANNON DEE BROADIE

PONCA CITY, OK
NPI1285811737
Professional NameSHANNON DEE CAMERON-BROADIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OK  R0085845)
Enumeration Date2008-01-28
Last Update Date2008-03-04
Business Address
-- SHANNON DEE BROADIE
721 E GRAND AVE
PONCA CITY, OK 74601-5513
Phone number: 580-749-5139
Mailing Address
-- SHANNON DEE BROADIE
721 E GRAND AVE
PONCA CITY, OK 74601-5513
Phone number: 580-749-5139
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