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1922842798
RIDLEY S SHELBY
TULSA, OK
NPI
1922842798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
RIDLEY S SHELBY
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 573-864-0178
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Mailing Address
RIDLEY S SHELBY
304 LONGFELLOW LN
COLUMBIA, MO 65203-1625
Phone number: 573-864-0178
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