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1861004467
SHANNON RENEE WOODSTOCK
TULSA, OK
NPI
1861004467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0043209)
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
SHANNON RENEE WOODSTOCK LPN
550 S PEORIA AVE
TULSA, OK 74120-3820
Phone number: 918-588-1900
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Mailing Address
SHANNON RENEE WOODSTOCK LPN
550 S PEORIA AVE
TULSA, OK 74120-3820
Phone number: 918-588-1900
Copy
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