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Individual

SHELBY BILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26661 W 5TH ST, CAMERON, OK 74932-2458
(918) 654-3225
Mailing address
26661 W 5TH ST, CAMERON, OK 74932-2458
(918) 647-3225

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
201106
AR
235Z00000X
Speech-Language Pathologist
Primary
4545
OK

Other

Enumeration date
01/13/2021
Last updated
11/05/2021
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