Individual
SHYANNE RAIN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 PEACEABLE RD, MCALESTER, OK 74501-9103
(918) 429-7950
(918) 429-7958
Mailing address
2202 PEACEABLE RD, MCALESTER, OK 74501-9103
(918) 429-7950
(918) 429-7958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0068662
OK
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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