Individual
RAMONA SHEGOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 NW COLUMBIA AVE, LAWTON, OK 73505-4905
(580) 695-5568
Mailing address
3815 NW COLUMBIA AVE, LAWTON, OK 73505-4905
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
10/09/2012
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