SHANA DIANE CHILDRESS

TULSA, OK
NPI1578317350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-16
Last Update Date2024-04-16
Business Address
SHANA DIANE CHILDRESS DO
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-619-4400
Mailing Address
SHANA DIANE CHILDRESS DO
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-619-4400
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