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1922866755
JILLIAN RUSSELL SHAW
OKLAHOMA CITY, OK
NPI
1922866755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 216836)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
Mrs. JILLIAN RUSSELL SHAW FNP-C
825 NE 10TH ST
OKLAHOMA CITY, OK 73104-5417
Phone number: 918-398-1054
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Mailing Address
Mrs. JILLIAN RUSSELL SHAW FNP-C
7000 N PORTLAND AVE
OKLAHOMA CITY, OK 73116-2039
Phone number: 918-398-1054
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