Individual
SHELLY BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11208 S 274TH EAST AVE, COWETA, OK 74429-3406
(918) 691-2127
Mailing address
11208 S 274TH EAST AVE, COWETA, OK 74429-3406
(918) 691-2127
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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