SHANON ELIZABETH PAXSON

GROVE, OK
NPI1376740019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: OK  1000670490A)
Additional Taxonomies347C00000X Private Vehicle
(Licence: OK  1000670490C)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
MRS. SHANON ELIZABETH PAXSON
25322 S 603 RD
GROVE, OK 74344
Phone number: 918-787-4368
Mailing Address
MRS. SHANON ELIZABETH PAXSON
25322 S 603 RD
GROVE, OK 74344
Phone number: 918-787-4368