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1346067808
SHANETTE NETINA FOWLKES
TULSA, OK
NPI
1346067808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0067608)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
SHANETTE NETINA FOWLKES
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
SHANETTE NETINA FOWLKES
6258 E 36TH ST
TULSA, OK 74135-5809
Phone number: 918-406-5914
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