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Individual

STEPHEN SCOTT SLATTERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
1142 W GRIGGS WAY, MUSTANG, OK 73064-2172
(405) 492-2891

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/05/2021
Last updated
11/05/2021
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