Shannon Deserae Nick

NPI 1487893871 - Counselor - 101YM0800X

NPI Details
NPI 1487893871
Gender Female
Enumeration Date 02/10/2009
Last Updated 02/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
105 SE 45TH ST
OKLAHOMA CITY OK, 73129-3201, US
Phone (405) 632-1900
Fax (405) 632-1976
Business Location
105 SE 45TH ST
OKLAHOMA CITY OK, 73129-3201, US
Phone (405) 632-1900
Fax (405) 632-1976
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Shannon Deserae Nick NPI is 1487893871, taxonomy code is 101YM0800X Shannon Deserae Nick physically located at 105 Se 45th St, Oklahoma City OK, 73129-3201. NPI Number Shannon Deserae Nick has the Individual type.

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1487893871 NPI number is provided on an as is basis without warranty of any kind. 1487893871 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Deserae Nick are for informational purposes only.