Individual
SHANA SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
(405) 424-7711
Mailing address
615 E TEXAS DR APT 802, ANADARKO, OK 73005-5270
(580) 551-9974
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
07/28/2025
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