Individual
MRS. SHANNON NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
820 NW HAMPTON CT, LAWTON, OK 73505-4156
(580) 510-0272
Mailing address
820 NW HAMPTON CT, LAWTON, OK 73505-4156
(580) 510-0272
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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