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1376705806
SHANNON MEDLEY
EDMOND, OK
NPI
1376705806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1614)
Enumeration Date
2008-06-26
Last Update Date
2014-11-26
Business Address
-- SHANNON MEDLEY P.A.-C
1208 W 15TH ST
EDMOND, OK 73013-3001
Phone number: 405-340-2100
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Mailing Address
-- SHANNON MEDLEY P.A.-C
530 N MONTE VISTA SUITE A
ADA, OK 74820-4675
Phone number: 580-436-7101
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