Individual
DR. JAMIE LYN SHADDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
RR 1 BOX 3060, CLINTON, OK 73601-9303
(580) 323-2884
(580) 323-2579
Mailing address
331 SHALE CRST, CLINTON, OK 73601-3647
(580) 323-2884
(580) 323-2579
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
10604
OK
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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