SHANA FULKERSON

OKLAHOMA CITY, OK
NPI1720525256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-01-23
Last Update Date2017-01-23
Business Address
-- SHANA FULKERSON
4130 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5209
Phone number: 405-424-7711
Mailing Address
-- SHANA FULKERSON
4130 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5209
Phone number: 405-424-7711
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