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Individual

SHANNON ANN FORESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
940 STANTON L YOUNG BLVD STE 415, OKLAHOMA CITY, OK 73104-5020
(405) 271-4700
Mailing address
940 STANTON L YOUNG BLVD STE 415, OKLAHOMA CITY, OK 73104-5020
(405) 271-4700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5639
OK

Other

Enumeration date
06/10/2025
Last updated
11/25/2025
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