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1952929515
TASHA SHEA SMITH
PONCA CITY, OK
NPI
1952929515
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Former Name
TASHA SHEA LEATHERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 109192)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
TASHA SHEA SMITH RN
2225 N. UNION
PONCA CITY, OK 74601-1536
Phone number: 580-308-5515
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Mailing Address
TASHA SHEA SMITH RN
2225 N. UNION
PONCA CITY, OK 74601-1536
Phone number: 580-308-5515
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