Individual
MICHELLE MARIE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 664-1792
Mailing address
708 N PATTERSON DR, MOORE, OK 73160-6846
(405) 213-9327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0065809
OK
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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