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1912653221
SHANNON M WOOD
SHAWNEE, OK
NPI
1912653221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 207106)
Enumeration Date
2022-02-24
Last Update Date
2022-02-26
Business Address
SHANNON M WOOD
2400 N HARRISON ST
SHAWNEE, OK 74804-3133
Phone number: 405-395-4441
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Mailing Address
SHANNON M WOOD
372034 HIGHWAY 48
OKEMAH, OK 74859-6801
Phone number: 405-220-2111
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