Individual
CALYN CHEYENNE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3954 N KICKAPOO AVE, SHAWNEE, OK 74804-1698
(405) 273-6203
Mailing address
3954 N KICKAPOO AVE, SHAWNEE, OK 74804-1698
(405) 273-6203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
02/17/2020
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