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1336975036
SHANTELL MOORE
OKLAHOMA CITY, OK
NPI
1336975036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 213326)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
SHANTELL MOORE
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5108
Phone number: 405-424-7711
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Mailing Address
SHANTELL MOORE
1900 RENAISSANCE DR APT 411
NORMAN, OK 73071-1512
Phone number:
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