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Individual

LAYNIE DAWN SHEBESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 273-5801
(405) 878-3794

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1122
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200026020A
OK
Enumeration date
05/31/2006
Last updated
01/02/2017
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