Individual
MARLI SHANNON NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19500 E ROSS ST, TAHLEQUAH, OK 74464-0515
(918) 525-6191
Mailing address
1256 N LEGION DR APT 9, TAHLEQUAH, OK 74464-2278
(918) 471-9812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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