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Individual

SHAWN GLEN JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
6126 E 32ND PL, TULSA, OK 74135-5406
(918) 394-2256
Mailing address
15619 S BIRCH AVE, GLENPOOL, OK 74033-4416
(918) 932-6012

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0052412
OK

Other

Enumeration date
11/30/2017
Last updated
11/30/2017
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