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Individual

MARY SHEA BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5636
(580) 226-6727
Mailing address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5636
(580) 226-6727

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
37V072430411
OK

Other

Enumeration date
07/13/2011
Last updated
07/13/2011
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