Individual
JOSHY SHABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 BOULDER CT, EDMOND, OK 73003-2146
(405) 821-7520
Mailing address
2900 BOULDER CT, EDMOND, OK 73003-2146
(405) 821-7520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0088167
OK
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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