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1457050114
SHEA LYN DESPAIN
SAPULPA, OK
NPI
1457050114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 206256)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
Mrs. SHEA LYN DESPAIN APRN
16 S WATER ST
SAPULPA, OK 74066-4232
Phone number: 918-347-9022
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Mailing Address
Mrs. SHEA LYN DESPAIN APRN
16 S WATER ST
SAPULPA, OK 74066-4232
Phone number: 405-613-3879
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