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1972144475
SHELLY DIANE PRINCE
TULSA, OK
NPI
1972144475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 90580)
Enumeration Date
2019-10-05
Last Update Date
2023-11-13
Business Address
SHELLY DIANE PRINCE APRN
717 W 71ST ST
TULSA, OK 74132-1824
Phone number: 918-517-6300
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Mailing Address
SHELLY DIANE PRINCE APRN
4953 S 185TH EAST AVE
TULSA, OK 74134-7321
Phone number: 918-508-1922
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