Individual
WENDY SHADOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 W MEMORIAL RD, #116, OKLAHOMA CITY, OK 73120-8366
(405) 751-7682
Mailing address
4140 W MEMORIAL RD, #116, OKLAHOMA CITY, OK 73120-8366
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
187
OK
Other
Enumeration date
09/04/2008
Last updated
09/11/2008
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