Individual
SHAE LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 NW 48TH ST STE 102, OKLAHOMA CITY, OK 73112-5911
(405) 604-6975
(405) 605-8175
Mailing address
3200 NW 48TH ST STE 102, OKLAHOMA CITY, OK 73112-5911
(405) 604-6975
(405) 605-8175
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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