Individual
CAVIN JAMES ANTHONY SHAMBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 N BROWN ST, VINITA, OK 74301-1306
(918) 323-1538
Mailing address
724 N BROWN ST, VINITA, OK 74301-1306
(918) 323-1538
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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