Individual
SHANNON TSATOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5440
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107522
OK
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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