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1730963596
SHANNON CHERIE NANAETO
TULSA, OK
NPI
1730963596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 211952)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
SHANNON CHERIE NANAETO MS, APRN-CNP
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 918-579-1000
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Mailing Address
SHANNON CHERIE NANAETO MS, APRN-CNP
318 TRIBUTE TRL
CHOUTEAU, OK 74337-5000
Phone number: 918-260-7631
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