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1982098919
SHANNON LANCE
TULSA, OK
NPI
1982098919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK 775)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
-- SHANNON LANCE ATC
3900 N MINGO RD
TULSA, OK 74116-5000
Phone number: 918-292-3397
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Mailing Address
-- SHANNON LANCE ATC
1341 E 146TH PL S
GLENPOOL, OK 74033-3714
Phone number:
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