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1417299447
SHELLEY WAGGONER
TULSA, OK
NPI
1417299447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2013-03-16
Last Update Date
2013-03-16
Business Address
-- SHELLEY WAGGONER
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-633-2442
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Mailing Address
-- SHELLEY WAGGONER
6727 S 73RD EAST AVE
TULSA, OK 74133-1832
Phone number: 918-734-5866
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