SHANTEL LANIECE BOLTON

TULSA, OK
NPI1487112603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  95457)
Enumeration Date2019-03-06
Last Update Date2024-04-22
Business Address
SHANTEL LANIECE BOLTON APRN
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number: 539-399-3410
Mailing Address
SHANTEL LANIECE BOLTON APRN
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number: 539-399-3410
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