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1306533617
SHANNON DAWN GIBE
JAY, OK
NPI
1306533617
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Former Name
SHANNON DAWN BENGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK l0066716)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
SHANNON DAWN GIBE LPN
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 539-240-0171
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Mailing Address
SHANNON DAWN GIBE LPN
1015 W WASHBOURNE ST
JAY, OK 74346-4205
Phone number: 539-240-0171
Copy
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