Shannon Rose-selstad BS

NPI 1487853677 - Counselor - 101YP2500X

NPI Details
NPI 1487853677
Gender Female
Enumeration Date 07/17/2007
Last Updated 07/17/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1202 SW A AVE
LAWTON OK, 73501-3821, US
Phone (580) 357-6889
Fax (580) 248-1090
Business Location
1202 SW A AVE
LAWTON OK, 73501-3821, US
Phone (580) 357-6889
Fax (580) 248-1090
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
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According to our database, Shannon Rose-selstad BS NPI is 1487853677, taxonomy code is 101YP2500X Shannon Rose-selstad BS physically located at 1202 Sw A Ave, Lawton OK, 73501-3821. NPI Number Shannon Rose-selstad BS has the Individual type.

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1487853677 NPI number is provided on an as is basis without warranty of any kind. 1487853677 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Rose-selstad BS are for informational purposes only.