SERENA E. SHEPPARD

ADA, OK
NPI1609855410
Former NameSERENA E BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  R0067512)
Enumeration Date2006-01-10
Last Update Date2020-07-14
Business Address
SERENA E. SHEPPARD ARNP
1921 STONECIPHER BLVD
ADA, OK 74820-3439
Phone number: 580-310-5687
Mailing Address
SERENA E. SHEPPARD ARNP
1921 STONECIPHER BLVD
ADA, OK 74820-3439
Phone number: 580-310-5687
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