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1407225162
SHELLY VILLEGAS
LAWTON, OK
NPI
1407225162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0062074)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- SHELLY VILLEGAS LPN
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-354-5000
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Mailing Address
-- SHELLY VILLEGAS LPN
9248 SE LEE BLVD
LAWTON, OK 73501-5973
Phone number: 580-730-4026
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