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1295247963
SHAUNTAE ANTWINE
OKLAHOMA CITY, OK
NPI
1295247963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK F08171150)
Enumeration Date
2017-11-02
Last Update Date
2017-11-02
Business Address
SHAUNTAE ANTWINE FNP-C
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104-5018
Phone number: 405-271-6122
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Mailing Address
SHAUNTAE ANTWINE FNP-C
8901 NW 106TH ST
OKLAHOMA CITY, OK 73162-6016
Phone number: 405-626-1056
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