Individual
SHELIA VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N MAPLE ST, PAULS VALLEY, OK 73075-2821
(405) 238-7012
Mailing address
210 N MAPLE ST, PAULS VALLEY, OK 73075-2821
(405) 238-7012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0075806
OK
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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