Individual
HEATHER MICHELLE SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N 1ST ST, MADILL, OK 73446-1406
(580) 798-0111
Mailing address
14651 GARY RD, MADILL, OK 73446-8143
(580) 263-4305
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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